Shahida Parveen Afridi, Naushad Beg, Farzana Memon.
Presentation of enlarged lymph nodes.
J Surg Pak Jan ;10(4):41-3.

Objective: To find out the pathology of enlarged lymph nodes, their clinical presentation, diagnosis and treatment. Design: Descriptive study Setting: Surgical Department, Sindh Govt. Lyari General Hospital, Karachi. Results Total number of patients studied were 400 (262 females, 138 males). Male to female ratio was 1:1.89. Most of the patients were in younger age group. 40% were in the second decade, followed by 3rd decade, 23.2%. Majority had history of lump (92.5%), low grade fever (50.0%), cold abscess (49.25%), cough (48.0%), non healing ulcer (22.5%), discharging sinuses (21.5%), anorexia and weight loss (18.25%). Associated pulmonary tuberculosis was present in few cases. Commonest group of lymph nodes affected were cervical, 74.5% followed by axillary lymph nodes 10.5%. Pathology found was tuberculosis 63% followed by reactive changes II.25%, chronic non specific lymphadenitis 10.50%, non Hodgkin lymphoma 6.25%, Hodgkin`s disease 5.50 % and metastatic carcinoma 3.50%. Conclusion: This study concludes that highest number of patients were in the second decade with female predominance. Commonest pathology noticed was tuberculosis followed by non specific lymphadenitis.

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