Muhammad Shahid Farooq, Samina Qamar, Muhammad Rashid Anjum, Rabia Altaf, Muhammad Azhar Farooq.
Peripheral Lymph Glands; Are We Justified In Taking These Out For Histopathology In Our Patients?.
Professional Med J Jan ;24(10):1556-9.

Background: Enlarged lymph glands almost always represent a local or systemic disease that may be benign or malignant. We see many patients including the referred ones in our OPD clinic and subsequently do the excision of quite a big proportion of the enlarged glands especially the cervical glands. Study Design: Descriptive study. Setting: Retrospect by reviewing the operative and histopathology department of King Edward Medical University. Period: April 2016 to April 2017. Methods: We will analyse the record of 121 patients who had peripheral lymph gland enlargement and presented to us. Results: Ours results show that the mean age of our patients was 25.03±18.06 years. We found that 40% of our patients had a definitive diagnosis from the histopathology of excised lymph nodes while 35.5% of the patients had reactive hyperplasia and 25% of the patients had inconclusive results and we were unable to help them. Conclusion: Our results conclude that the lymph nodes are a very good source of getting the diagnosis especially the cervical lymph nodes with a diagnostic yield of 76.4% and we may need to have a more robust criteria for excising the peripheral lymph glands in order to improve the diagnostic yield from 40%.

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