Muhammad Qasim Butt, Ansar Latif, Afnan Amjad, Muhammad Ahmed, Ahsan Jamil, Fayyaz Ahmad Orfi.
Outcome of Surgical Management in Cervical Lymphadenopathy; a Prospective study at Allama Iqbal Teaching Hospital, Sialkot.
Pak J Med Health Sci Jan ;12(4):1373-4.

Aim: To assess the etiology and management of cervical lymphadenopathy in patients presenting to surgical department of Allama Iqbal Memorial Teaching Hospital, Sialkot Study Design: Prospective study. Place and duration of study: Department of General Surgery Khawaja Muham mad Safdar Medical College, Sialkot from January 2016 to April 2018. Methods: All patients presenting to surgical out patients department ( OPD ) were serially included during the study period. The data of all patients were recorded inclusive of history, physical examination, investigations and treatment given. Two groups were made, the Group I – outdoor patients; who were investigated and treated in OPD only and they did not requite admissions for any investigation or surgical procedure. Results : Patients enrolled in our study were 987, out of which 103 patients were excluded due to lack of follow-up and 884 remained in the study, their age was between 2-67 years ( with mean 39+-11 years), M:F ratio was 1:19, 395 patients were malnourished, 178 were smokers, 156 were diabetics and 207 were hypertensive , Group-I consisted of outdoor patients who were 712 and Group-II included admitted patients who were 172 in number. In Group I, 41% patients had single node in neck, 72% had multiple nodes in neck and 7% had associated lymph nodes on other sites of body,69% patients also developed fever,87% lost their weight and 17% got discharge, all patients(100%) had an USG and X-rays of cervical spine, FNAC was done in 43% and excision biopsy under LA was done in 76% of patients Conclusion: Cervical lymphadenopathy is a common presentation in the surgical OPD. Most of the patients are malnourished; amongst them the majority belong to less than 12 years of age. FNAC, Biopsy and excision is required for a definite histopathological diagnosis. Treatment is according to the cause. Keywords: Lymph nodes, Fine needle aspiration cytology, excision, granulommatous inflammation

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