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,
A Clinico-Etiological Study of Cervical Lymphadenopathy in Otorhinolaryngology Practice, International Journal of Otorhinolaryngology.
Vol. 4, No. 2,
2018, pp. 51-54.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Nitin Upadhyay; Anand Chaudhary; Abhijeet Alok; Cervical Lymphadenopathy; Journal of Dental Sciences & Oral Rehabilitation : Jan-March 2012.
Mili MK, Phookan J. A clinico-pathological study of cervical lymphadenopathy. IntJ Dent Med Res. 2015;1(5):24–27.
Sambandan T, Christeffi M R, Cervical lymphadenopathy - a review. JIADS 2011; 2(1) :31-33.
Gosche JR, Vick L. Acute, subacute, and chronic cervical lymphadenitis in children. Semin Pediatr Surg. 2006 May;15(2):99-106.
Lang S, Kansy B. Cervical lymph node diseases in children. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014;13:Doc08.
Özlem Okumuş, 1 Merve Dönmez, 2 and Filiz N. Pekiner Ultrasonographic Appearances of Cervical Lymph Nodes in Healthy Turkish Adults Subpopulation: Preliminary Study The Open Dentistry Journal, 2017, 11, (Suppl-1, M8) 404-412.
Allhiser JN, McKnight TA, Shank JC; Lymphadenopathy in a family practice. J FamPract. 1981;12:27–32.
Williamson HA Jr. Lymphadenopathy in a family practice: a descriptive study of 249 cases. J FamPract. 1985;20:449–58].
Fijten GH, Blijham GH. Unexplained lymphadenopathy in family practice. An evaluation of the probability of malignant causes and the effectiveness of physicians’ workup. J FamPract. 1988;27:373–6.
SachinDarne, TrushaRajda; Cervical Lymphadenopathy in Children-A Clinical Approach; International Journal of Contemporary Medical Research Volume 3 | Issue 4 | April 2016; 1207-1210.
Motiwala MA, Dalmia D, Behara SK. Cervical lymphadenopathy: a clinicopathological study. Int J torhinolaryngol Head Neck Surg 2017;3:210-5.
GauravBatni, Sushil Gaur, O. N. Sinha, SiddhantPriyaAgrawalAbhinavSrivasatva; A Clinico-Pathological Study of Cervical Lymph Nodes, Indian J Otolaryngol Head Neck Surg. 2016 Dec; 68(4): 508–510.
Shakya G, Malla S, Shakya KN, Shreshtha R. A study of FNAC of cervical lymph nodes. J Nepal Res Counc. 2009;7(14):1–5.
Jaffar A. Al-Tawfiq, Wasim Raslan. The analysis of pathological findings for cervical lymph node biopsies in eastern Saudi Arabia, Journal of Infection and Public Health (2012) 5, 140—144.
Koss LG. Diagnostic cytopathology and the histopathological basis. 4. Philadelphia: Lippincott Company; 1994. pp. 194–198.