CERVICALLYMPHADENOPATHY

Zaryab GhauriFinal YearBatch E

Infective: Age < 10years Painful lump jus below the angle of jaw Child may snore at night, Difficulty in

breathing, Nasal speech, Recurrent chest infections

Systemic Effects: Feels ill sore throat pyrexia and doesn’t want to eat

Malnourished child, Cold, damp houses

Tuberculouslymphadenitis:

Children, young and elderly Lump with gradual appearance, With or

without pain Neck movement and swallowing painful Anorexia and weight loss If breaks down into abscess it increases in

size, become painful, discoloration of overlying skin

BCG vaccination Any Family member has TB Poor socioeconomic status

Primary Reticuloses:

Common in children and young adults Painless lump which Grow slowly Systemic: Malaise, weight loss and pallor Itching of the skin (unexplained but distinct) Periodic fever and rigors Pains in bones

Venous congestion in the neck ( large lymph gland mass occlude superior vena cava)

Metastaticlymphadenopath

y: Occur in patients > 50 years Painless lump Grow slowly and new lumps may appear Symptoms of Primary lesion

In the head and neck: sore tongue; hoarse voice

In the chest: cough; haemoptysis In the abdomen: dyspepsia; abdominal pain Head and neck cancers do not cause

anorexia or weight loss

Investigation Laboratory investigations

Blood film examDiagnosis of glandular fever or leukemia

LFT & RFT: helpful in identify associated underlying systemic disorders

Serological tests: HIV & syphilis LN biopsy: Histological Diagnosis

(particularly in Hodg.and non-Hodg. lymphoma)

Investigation Radiological investigations

X-ray: TB shows typical spotty calcification Chest X-ray: shows enlarged mediastinal nodes

or primary occult tumor of the lung U/S: helpful in evaluating the changes in the

lymph nodes CT scan of chest & abdomen in case of

supraclavicular adenopathy, associated with serious underlying disease

Thank You