DOI: 10.36347/sjams.2020.v08i05.002

Pages: 1185-1188

This is an observational prospective study, which include 60 patients with cervical lymphadenopathy which came to outpatient department or got admitted in the wards. Clinico-diagnostic profile of these cases was determined. Among 60 cases of cervical lymphadenopathy, females (34, 56.6%) were more than the male (26, 43.3%) patients and most of the patients were at the age group of 21–30 years. Most patients presented with fever (66.1%), weight loss (50%), night sweating (40%), anorexia (46.66%), and cough (30%). 54 (86.66%) cases were diagnosed by fine needle aspiration cytology (FNAC) and 6 (13.3%) were diagnosed by biopsy. 44 (73.33%) had caseous necrosis, 54 (90%) had epithelioid cells, and 16 (26.67%) had giant cells. Previous history of anti- tubercular therapy (ATT) was present in 20 (33.3%) patients, 16 (26.6) of them took ATT for lymph node TB and 4 (6.66) patients took ATT for pulmonary tuberculosis (TB). 8 (13%) patients has other diagnosis than TB, 4 of them has Hodgkins lymphoma, 2 has other malignancy (carcinoma breast) and 2 has reactive lymphadenitis. Cervical lymphadenopathy can have varied manifestation from non-neoplastic to neoplastic condition. Proper history, examination and relevant investigations and disease specific treatment can only cure the patient and improve the prognosis. Fine-needle aspiration is a safe, easy, accurate, and valuable tool for the evaluation of cervical adenopathy.