Clinico-pathological correlation study of cervical lymph node masses

Chamyal, P. C.; Sabarigirish, K.

doi:10.1007/bf02994662

Cited by 13 publications

(16 citation statements)

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“…This shows that fixity of lymph nodes were much higher compared to our study. 6 In this study it has been seen that more number of cases have been involved in middle deep cervical lymph node i.e. mid jugular accounting for 44% followed by involvement of upper deep cervical in 40% of cases, 10% in supraclavicular group, 4% in posterior triangle and 2% involving submental lymph nodes i.e.…”

Section: Resultsmentioning

confidence: 59%

“…In the series of Chamyal et al 1997 incidence of cervical lymphadenopathy was highest in 41-60 age followed by 1-20 years. 6 Pranshu Bhargave et al 2002 in their series observed TB Lymphadenitis has highest incidence and in age group of 21-40 (95%). TB lymphadenitis was commonly seen in students followed by house wives and labourers.…”

Section: Resultsmentioning

confidence: 93%

“…5 In the study of Chamyal and Sabarigirish, benign constituted 57.2%, malignancy accounted for 40.9%. 6 On clinical diagnosis of 50 cases 38 cases were benign of which 26 cases were TB lymphadenitis (52%), and 12 cases (24%) nonspecific lymphadenitis noted. Remaining accounted for malignancy i. e. secondaries in the neck accounted for 10 cases (20%) and lymphomas 2 cases (4%).…”

Section: Resultsmentioning

confidence: 94%

“…5 In Chamyal et al series firm nodes constituted 65.5%, hard 29.1%, cystic 3.6% and soft 1.8%. 6 Among 50 cases studied, it has been observed that 9 cases has matting of lymph nodes, 5 cases are fixed to the underlying structures and remaining 36 cases are mobile which is accounting for 18%, 10% and 72% respectively. Whereas it has been seen that in Chamyal and Sabarigirish series matting of cervical lymphnodes were noted in 16.4% of cases and 23.6% of cases fixity was noted.…”

Section: Resultsmentioning

confidence: 95%

“…Study by Haque et al in the year Nov 2001 to April 2002, have seen 25.3% were malignant and remaining were benign which is comparable with our study. 6,11 In Meera Bai study of 50 cases with cervical lymphadenopathy 34 cases (68%) were benign and 16 were malignant (32%). 5 In the study of Chamyal and Sabarigirish, benign constituted 57.2%, malignancy accounted for 40.9%.…”

Section: Resultsmentioning

confidence: 99%

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Clinico pathological study of cervical lymphadenopathy

Melkundi

Melkundi²

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: This study was carried out with a broad objective of assessing relative diagnostic efficacy of the clinical evaluation, fine needle aspiration biopsy and open biopsy. The objective was to study the confirmatory diagnosis of the underlying pathological variants, the incidence of the malignancies, presenting with cervical lymphadenitis and also to diagnose various etiologies of cervical lymphadenitis in all age groups.Methods: Patients attending the ENT and surgery OPD of BTGH and General hospital, Gulbarga, of all age groups and both genders having the neck swelling for more than three weeks were subjected for the study.Results: This study has shown that the incidence of tubercular lymphadenitis is more in the age group of 1st and 2nd decade and in low socioeconomic status while secondaries are more common in the elderly age group. Conclusions: From this study it can be concluded that in cervical lymphadenopathy clinical evaluation followed by FNAC is most reliable diagnostic tool, which is easy to perform, cost effective, speedy results can be obtained and accurate. The main requirement for this is the specialist input.

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Section: Resultsmentioning

confidence: 59%

Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Clinico pathological study of cervical lymphadenopathy

Melkundi

Melkundi²

2017

Int J Otorhinolaryngol Head Neck Surg

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Neck Masses: Clinico-Radio-Pathological Evaluation

An¹,

Sharma²,

Qureshi³

et al. 2021

Indian J Otolaryngol Head Neck Surg

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Histological Surprises in Benign Cytologies after Lymph Node Biopsy—Surgeon’s Knife Improving Patient Care

Newton

Ramesh

Manjunath

et al. 2016

Indian J Surg Oncol

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Lymphadenopathy can be due to multitude of causes. Owing to the high prevalence of infectious diseases in India, and malignancy being a life threatening cause for lymphadenopathy; accurate diagnosis is important in preventing delay or misdiagnosis and in improving patient care, thereby increasing longevity with quality. Fine needle aspiration cytology (FNAC) is the first line investigation commonly done. Should the doctor be contented with the benign FNAC or is a lymph node biopsy needed in this age? The aims of this study are the following: (1) to study the spectral pattern of lymph node biopsies done in a surgical oncology unit of tertiary care centre, (2) to assess the yield of malignant cases from lymph node biopsy and (3) to compare the reliability of benign FNAC with lymph node biopsy. Cross-sectional study of 114 cases that underwent lymph node biopsy during the year 2014, at the Surgical Oncology Department of St. John's Medical College Hospital, Bangalore. Lymph node biopsies were done in the outpatient department (OPD) under local anaesthesia or in the operation theatre under local anaesthesia/monitored anaesthesia care based on the clinical condition of the patient. Regional lymph node dissections, central node biopsy, patients with known case of malignancy were excluded. Specimen sent for histopathological study and immunohistochemistry (IHC) done when needed. 58.8% were males among study population, age ranging from 15 to 80 years, 57% cervical and 29.8% axillary lymph node biopsies done. Sixty-seven percent (67%) of biopsies done in OPD. Thirty-three percent (33%) of biopsies in the operation theatre among which 60.5% under local anaesthesia only. 35.1% cases were reactive hyperplasia, 24.6% lymphomas with non-Hodgkin's lymphoma being the commonest, 13.2% metastatic disease with adenocarcinoma being the commonest. 72.7% of the supraclavicular nodes were malignant. 47.4% of subjects had prior FNAC of the lymph node. Twenty-five percent (25%) of the reactive hyperplasia's on FNAC ( < 0.0001), 33.3% of inadequate FNAC ( = 0.003) and 75% of atypical cells in FNAC turned to be malignant on lymph node biopsy with a discordance rate of 20.3%. Lymph node size didn't correlate with neoplasm. In our study, benign cytologies were malignant on biopsy and statistically significant. Lymph node biopsies are reliable in detecting malignancy and subtyping of the disease. In the presence of strong clinical suspicion, lymph node biopsy is essential even when the FNAC is promisingly benign in a country with limited resources. Lymph node biopsy can be safely done in OPD under local anaesthesia at a lower cost, resulting in a reliable diagnosis thereby improving patient care.

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Clinico-pathological correlation study of cervical lymph node masses

Cited by 13 publications

References 3 publications

Clinico pathological study of cervical lymphadenopathy

Clinico pathological study of cervical lymphadenopathy

Neck Masses: Clinico-Radio-Pathological Evaluation

Histological Surprises in Benign Cytologies after Lymph Node Biopsy—Surgeon’s Knife Improving Patient Care

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