Abdur Rehman Anwar, Hamidur Rehman, Arif Raza Khan, Kasifud Din Khattak, Murad Ali, Anwar Shamim.
Open Biopsy For Cervical Node Tuberculosis Is Still A Need In Our Set Up.
J Med Sci Jan ;24(2):69-72.

Objectives: To assess that open biopsy is mandatory for diagnosing cervical node tuberculosis. Material and Method: The study was conducted at DHQ Hospital, Swabi over 2 years period from January 2013 to December 2014. Fourteen cases of cervical lymph node tuberculosis were confirmed histological by open biopsy. All were treated with anti tuberculous as category I patients and were treated with Six months ATT with two months intensive and four months continuation phase under Directly Observed Treatment Short course (DOTS). Results: Fourteen cases including twelve female and two male with age range from 2 years to 60 years were diagnosed as TB cervical lymph nodes. 5 patients (35.7%) presented with matted nodes, 4 cases presented with Cold abscess(28.5%), discrete node in 3 cases (21.4%) and Bil node in 2 cases (14.2%). Associated constitutional signs symptoms were fever(64.2%), weight loss (57.14%), Poor appetite and anemia (50% each) and raised ESR in 71.4%. Conclusion: Open biopsy is still advisable for diagnosis of cervical node tuberculosis.

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