EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCE
Background: TB can affect virtually any organ of the body and can be pulmonary or extrapulmonary. Extrapulmonary tuberculosis accounts for 20% of all TB cases with lymph nodes being the most common site of occurrence. The objective of this study was to determine the frequency of extrapulmonary tuber...
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Format: | Article |
Language: | English |
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Gomal Medical College, D.I.Khan, Pakistan
2016-12-01
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Series: | Gomal Journal of Medical Sciences |
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Online Access: | http://gjms.com.pk/ojs24/index.php/gjms/article/view/1303 |
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author | Niaz Hussain Soomro Aneeqa Ahsan Zafar Jamal Nasir Aamna Binte Zahid Mariam Fazal Ubedullah Shaikh |
author_facet | Niaz Hussain Soomro Aneeqa Ahsan Zafar Jamal Nasir Aamna Binte Zahid Mariam Fazal Ubedullah Shaikh |
author_sort | Niaz Hussain Soomro |
collection | DOAJ |
description | Background: TB can affect virtually any organ of the body and can be pulmonary or extrapulmonary. Extrapulmonary tuberculosis accounts for 20% of all TB cases with lymph nodes being the most common site of occurrence. The objective of this study was to determine the frequency of extrapulmonary tuberculosis in patients presenting with cervical lymphadenopathy.
Material & Methods: This was a descriptive study conducted at Department of Thoracic Surgery, Ojha Institute of Chest Diseases, Dow University of Health Sciences, Karachi, Pakistan from December 2012 to April 2015. All patients who presented with cervical lymphadenopathy which was not secondary to acute ear, nose, throat or dental infection or enlarged thyroid swellings/mass were included in the study. After informed consent, history, physical examination, ultrasonography of neck and FNAC were performed in all patients. Those patients in which FNAC failed to confirm the diagnosis, underwent lymph node biopsy
Results: A total of 491 patients, including 322(65.5%) females and 169(33.5%) males were studied. The mean age of patients was 33.8 years. All the patients complained of neck swelling followed by fever in 248(50.4%) and cough in 172(35.1%). Regarding the mode of diagnosis 310(63.2%) patients were diagnosed on FNAC, 112(22.8%) on excisional and 69(14%) on incisional biopsy. Among these 363(74.1%) patients were diagnosed with tuberculosis. Reactive hyperplasia was the next common diagnosis in 50(10.3%) patients.
Conclusion: Tuberculosis is the commonest cause of cervical lymphadenopathy in developing countries and should be investigated in every case of cervical lymphadenopathy with FNAC and/or biopsy. |
first_indexed | 2024-04-13T04:57:23Z |
format | Article |
id | doaj.art-be615036b94b441a837aedf000b27ed3 |
institution | Directory Open Access Journal |
issn | 1819-7973 1997-2067 |
language | English |
last_indexed | 2024-04-13T04:57:23Z |
publishDate | 2016-12-01 |
publisher | Gomal Medical College, D.I.Khan, Pakistan |
record_format | Article |
series | Gomal Journal of Medical Sciences |
spelling | doaj.art-be615036b94b441a837aedf000b27ed32022-12-22T03:01:27ZengGomal Medical College, D.I.Khan, PakistanGomal Journal of Medical Sciences1819-79731997-20672016-12-01141854EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCENiaz Hussain Soomro0Aneeqa Ahsan Zafar1Jamal Nasir2Aamna Binte Zahid3Mariam Fazal4Ubedullah Shaikh5Assistant Professor Department of Thoracic Surgery Ojha Institute of Chest Diseases Dow University of Health Sciences Karachi, PakistanDepartment of Thoracic Surgery Ojha Institute of Chest Diseases Dow University of Health Sciences Karachi, Pakistan/Dr, House officerDepartment of Thoracic Surgery Ojha Institute of Chest Diseases Dow University of Health Sciences Karachi, PakistanDepartment of Thoracic Surgery Ojha Institute of Chest Diseases Dow University of Health Sciences Karachi, Pakistan/Dr, MBBS House officerDepartment of Thoracic Surgery Ojha Institute of Chest Diseases Dow University of Health Sciences Karachi, Pakistan/Surgical department, Dow University Hospital, OJHA Campus, KarachiBackground: TB can affect virtually any organ of the body and can be pulmonary or extrapulmonary. Extrapulmonary tuberculosis accounts for 20% of all TB cases with lymph nodes being the most common site of occurrence. The objective of this study was to determine the frequency of extrapulmonary tuberculosis in patients presenting with cervical lymphadenopathy. Material & Methods: This was a descriptive study conducted at Department of Thoracic Surgery, Ojha Institute of Chest Diseases, Dow University of Health Sciences, Karachi, Pakistan from December 2012 to April 2015. All patients who presented with cervical lymphadenopathy which was not secondary to acute ear, nose, throat or dental infection or enlarged thyroid swellings/mass were included in the study. After informed consent, history, physical examination, ultrasonography of neck and FNAC were performed in all patients. Those patients in which FNAC failed to confirm the diagnosis, underwent lymph node biopsy Results: A total of 491 patients, including 322(65.5%) females and 169(33.5%) males were studied. The mean age of patients was 33.8 years. All the patients complained of neck swelling followed by fever in 248(50.4%) and cough in 172(35.1%). Regarding the mode of diagnosis 310(63.2%) patients were diagnosed on FNAC, 112(22.8%) on excisional and 69(14%) on incisional biopsy. Among these 363(74.1%) patients were diagnosed with tuberculosis. Reactive hyperplasia was the next common diagnosis in 50(10.3%) patients. Conclusion: Tuberculosis is the commonest cause of cervical lymphadenopathy in developing countries and should be investigated in every case of cervical lymphadenopathy with FNAC and/or biopsy.http://gjms.com.pk/ojs24/index.php/gjms/article/view/1303reactive hyperplasialymphadenopathyextrapulmonary tuberculosis. |
spellingShingle | Niaz Hussain Soomro Aneeqa Ahsan Zafar Jamal Nasir Aamna Binte Zahid Mariam Fazal Ubedullah Shaikh EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCE Gomal Journal of Medical Sciences reactive hyperplasia lymphadenopathy extrapulmonary tuberculosis. |
title | EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCE |
title_full | EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCE |
title_fullStr | EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCE |
title_full_unstemmed | EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCE |
title_short | EXTRAPULMONARY CERVICAL TUBERCULOUS LYMPHADENOPATHY: MORE COMMON THAN WE THINK — A TERTIARY CARE HOSPITAL EXPERIENCE |
title_sort | extrapulmonary cervical tuberculous lymphadenopathy more common than we think a tertiary care hospital experience |
topic | reactive hyperplasia lymphadenopathy extrapulmonary tuberculosis. |
url | http://gjms.com.pk/ojs24/index.php/gjms/article/view/1303 |
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