Farhan Salam, Ejaz Ahmad, Shahid Ullah Ahmad, Damish Arsalan, Yasir Maqsood, Murtaza Ahsan Ansari.
A clinical review of presentation and diagnosis of cervical lymphadenopathy and its relationship neck tuberculosis: Retrospective study at a Teaching Hospital.
Pak J Surg Jan ;36(2):157-60.

Objective: To analyze the frequency and diagnosis of tuberculosis in cervical lymphadenopathy in a tertiary care hospital Material and Methods: Th is descriptive study was carried out from July 2016 to July 2019 in the ENT and Head & Neck Surgery department, Kuwait Teaching Hospital Peshawar. Patients with enlarged cervical lymph nodes for more than four to six weeks duration and over 12-years of age were considered. FNAC, Chest X-ray, complete blood picture/erythrocyte sedimentation rate was performed in all patients while excisional biopsy was performed on patients in whom FNAC showed in-conclusive results. Sputum analysis was performed on patients whose FNAC and excisional biopsy showed cervical tuberculosis. Results: 149 patients were studied, of which 96 (64.42%) were males and 53 (35.58%) were females age between 12 to 65 years old. Mean age was 35.2+16.6 years. 52 (34.89%) patients had single lymph node enlargement and bilateral multiple lymph nodes were involved in 33 (22.14%) patients. 46 (30.87%) had matted lymph node and infected lymph node were present in 18 (12.08%) patients. Family history of pulmonary tuberculosis were positive in 17 (10.06%) patients. 62 (41.61%) patients were from Kashmir, 55 (36.91%) were from KPK and from Punjab 32 (21.47%) cases. Constitutional symptoms were present in 43 (28.83%) cases. Conclusion: Diagnosing tuberculosis lymphadenopathy requires a high index of suspicion. The disease is more common in young-middle age group. FNAC is easily available and a relatively uncomplicated way to diagnose tuberculus cervical lymphadenopathy however a negative result does not exclude the diagnosis. Excisional biopsy can be performed to establish a diagnosis. Patients who have TB of head and neck must be investigated to exclude pulmonary tuberculosis.

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