Asghar Ullah Khan, Inayat Ullah Khan, Muhammad Asghar Khan, Akbar Shah, Naseer Ahmed.
Cervical lymphadenopathy and ratio of malignancy.
J Med Sci Jan ;21(4):168-70.

Objective: To find out the ratio of malignancy and different pathologies involving cervical lymph nodes in order of its frequency and proper diagnostic protocol. Material and Methods: This prospective descriptive study was conducted at the ENT Departments of Khyber Teaching Hospital, Peshawar from June 2007 to December 2010. A total of 150 patients were included in this study. Fine needle aspiration cytology (FNAC) was primarily carried out in all cases while biopsy i.e. incisional/ excisional performed in cases where FNAC was inconclusive or diagnosis of malignancy was to be confirmed. Results: Total 150 patients aged 3-74 years with a mean of 35.44 + 17.06SD. The male to female ratio was 1.2:1. Metastatic lymph node were found in 44 (29.33%) cases after tuberculosis which was the most common cause of cervical lymphadenopathy in 54 (36%), followed by reactive hyperplasia 27(18.66%) and lymphoma in 22 (14.66%), including 10 cases of Hodgkin’s lymphoma and 12 cases Non Hodgkin’s lymphoma, 2 (1.33%) patient had Kikuchi lymphadenitis and one case proved to be sarcoidosis. Conclusion: Early accurate diagnosis of cervical lymphadenopathy is important for appropriate treatment of the underlying condition and prevents unnecessary complications.

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