Kikuchi's lymphadenopathy: a relatively rare but important ...
Cervical lymphadenopathy
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Transcript of Cervical lymphadenopathy
CERVICALLYMPHADENOPATHY
Zaryab GhauriFinal YearBatch E
Infective: Age < 10years Painful lump jus below the angle of jaw Child may snore at night, Difficulty in
breathing, Nasal speech, Recurrent chest infections
Systemic Effects: Feels ill sore throat pyrexia and doesn’t want to eat
Malnourished child, Cold, damp houses
Tuberculouslymphadenitis:
Children, young and elderly Lump with gradual appearance, With or
without pain Neck movement and swallowing painful Anorexia and weight loss If breaks down into abscess it increases in
size, become painful, discoloration of overlying skin
BCG vaccination Any Family member has TB Poor socioeconomic status
Primary Reticuloses:
Common in children and young adults Painless lump which Grow slowly Systemic: Malaise, weight loss and pallor Itching of the skin (unexplained but distinct) Periodic fever and rigors Pains in bones
Venous congestion in the neck ( large lymph gland mass occlude superior vena cava)
Metastaticlymphadenopath
y: Occur in patients > 50 years Painless lump Grow slowly and new lumps may appear Symptoms of Primary lesion
In the head and neck: sore tongue; hoarse voice
In the chest: cough; haemoptysis In the abdomen: dyspepsia; abdominal pain Head and neck cancers do not cause
anorexia or weight loss
Investigation Laboratory investigations
Blood film examDiagnosis of glandular fever or leukemia
LFT & RFT: helpful in identify associated underlying systemic disorders
Serological tests: HIV & syphilis LN biopsy: Histological Diagnosis
(particularly in Hodg.and non-Hodg. lymphoma)
Investigation Radiological investigations
X-ray: TB shows typical spotty calcification Chest X-ray: shows enlarged mediastinal nodes
or primary occult tumor of the lung U/S: helpful in evaluating the changes in the
lymph nodes CT scan of chest & abdomen in case of
supraclavicular adenopathy, associated with serious underlying disease
Thank You