A Clinico-Etiological Study of Cervical Lymphadenopathy in Otorhinolaryngology Practice
International Journal of Otorhinolaryngology
Volume 4, Issue 2, December 2018, Pages: 51-54
Received: Jul. 27, 2018; Accepted: Sep. 21, 2018; Published: Oct. 25, 2018
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Girija A Ghate, Department of Otorhinolaryngology and Head Neck Surgery, Dr. D. Y. Patil Medical College, DPU, Pune, India
James Thomas, Department of Otorhinolaryngology and Head Neck Surgery, Dr. D. Y. Patil Medical College, DPU, Pune, India
Neelesh Bhat, Department of Otorhinolaryngology and Head Neck Surgery, Dr. D. Y. Patil Medical College, DPU, Pune, India
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Cervical lymphadenopathy is a condition commonly seen in general, paediatric as well as Otorhinolaryngology practice. It is seen across all age groups and both genders. It shows a wide range of clinical features with an equally wide variety of causative factors. As the diagnosis can vary from a simple pharyngeal infection to a malignancy, appropriate investigations and timely diagnosis become a matter of concern to both the family as well as the treating doctor. Therefore a systematic clinical approach with minimal array of investigations is required to avoid unnecessary delay in diagnosis and designing the management protocol. It is essential to keep this in mind while investigating and treating these patients. The aim of this study was to determine the etiological factors in cases of cervical lymphadenopathy seen in Otorhinolaryngology clinic at a tertiary care center. 50 cases of the same, aged between 6 to 70 years attending ENT OPD at Dr. D. Y. Patil Medical College and Hospital, DPU, Pune, India, were studied over a period of 8 months. Reactive lymphadenitis was found to be the commonest cause followed by metastatic neck disease and tuberculosis as causes of cervical lymphadenopathy. There was a male preponderance with adults affected more than children. Chronicity of the condition also helped in pointing to certain etiologies. The variety of etiological factors is huge and clinical diagnosis alone may prove to be inaccurate. Fine Needle Aspiration Cytology proved to be the most reliable tool for definitive diagnosis.
Cervical Lymphadenopathy, FNAC, Cervical Lymphadenitis, Cervical Metastasis
To cite this article
Girija A Ghate, James Thomas, Neelesh Bhat, A Clinico-Etiological Study of Cervical Lymphadenopathy in Otorhinolaryngology Practice, International Journal of Otorhinolaryngology. Vol. 4, No. 2, 2018, pp. 51-54. doi: 10.11648/j.ijo.20180402.14
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