DOI: 10.36347/sasjs

Pages: 74-78

The analysis of enlarged lymph node in the neck, to assess its clinical course and come to a final diagnosis is a troublesome task for surgeon. The cause which can be neoplastic demands correct diagnosis for further management. This study intends to find out the various pathological conditions presenting with enlarged lymph nodes in the neck, behaviour of these conditions and also the various modes of clinical presentations. Relevant investigations are also been studied. The study population consisted of patients from 15-45 years presenting with cervical lymph node enlargement. Patient was examined systematically giving utmost importance to local examination. After making a clinical diagnosis, further relevant investigations were done to confirm the diagnosis. Treatment was instituted appropriately and patients are followed up regularly. Majority of the cases in this study had non-neoplastic causes for cervical lymphadenopathy in which tuberculosis is most common. Male to female ratio of 1.38:1 is noted with most cases between 15 and 30 years. Posterior triangle group of lymph nodes was most commonly affected in tuberculosis. In lymphomas level 2 group of lymph nodes is most commonly involved. Varied results were noted among the groups of lesions, with regard to local characteristics like number, laterality, mobility and involvement of other group of lymph nodes, etc. FNAC by virtue of it being inexpensive, quick in getting the results and easy to perform, is one of the important and essential diagnostic procedures.