DOI: 10.36347/sjams.2019.v07i02.005

Pages: 440-446

This is a hospital based cross sectional observational study carried out in the Department of Medicine, Dhaka Medical College and Hospital (DMCH) during the period from March 2014 to November 2014. Our aim was to see Clinical profile of cervical lymphadenopathy. A total of 115 consecutive patients having cervical lymphadenopathy in the above mentioned hospitals were enrolled in this study. Almost one third (29.6%) patients belonged to age 21-30 years and the mean age was found 42.1±15.6 years. It was observed that lymphoma was found 27.6% in patients belonged to age 41-50 years, tuberculosis 14(43.8%) patients belonged to age 21-30 years, metastatic carcinoma was 10(41.7%) patients belonged to age 51-60 years, nonspecific lymphadenopathy 11(45.8%) patients belonged to age 21-30 years. Male to female ratio was 2.6:1. More than one fourth, patients were laborer, one third were businessman, and others were housewives, student, and unemployed. More than half of the patients came from lower class and others from middle class family. Regarding the clinical feature of the study patients, it was observed that majority patients had nonspecific symptom like generalized weakness, loss of appetite and weight loss, other features like fever, cough and headache also present in less number. Examination cervical lymph node observed that most of the lymph node was non tender, discreet in character, firm in consistency and mobile. On the other hand lymph nodes fixed in metastatic carcinoma and matted in tuberculosis. On systemic examination, it was observed that splenomegaly and hepatomegaly were the common finding followed by ascites.