Causes of cervical lymphadenopathy, prospective study
Dr. Jamal Abed Hasan
Background: Cervical lymphadenopathy refers to lymphadenopathy of the cervical lymph nodes (the glands in the neck), the term lymphadenopathy strictly speaking refers to disease of the lymph nodes. Objectives: To diagnose the causes of the cervical lymphadenopathy. Method: This is a prospective study on 100 patients with cervical lymphadenopathy from the period of January 2017 to January 2019. Results: One hundred patients were studied, 60 female (60%) and 40 male (40%), and female to male ratio was 1.5:1, The age ranged from 1 to 70 years, with a mean age of 20 years + 5 years. The majority being in the 2nd decade of life constituting 50 patients (50%). Also our study showed that the causes of thecervical lymphadenopathyare reactive adenitis 40 patients (40%) followed by acute bacterial suppurative adenitis 30 patients (30%), chronic non specific adenitis 15 patients (15%), tuberculosis adenitis 5 patients (5%), secondary metastases 4patients (4%), Hodgkin lymphoma 3 patients (3%), non Hodgkin lymphoma 2 patients (2%), infectious mononucleosis 1 patient (1%). Conclussion: Our study showed that the causes of thecervical lymphadenopathyare reactive adenitis followed by acute bacterial suppurative adenitis, chronic non specific adenitis, tuberculosis adenitis, secondary metastases, Hodgkin lymphoma, non Hodgkin lymphoma, infectious mononucleosis. In our study we considered the incisional or excisional biopsy with or without Fine-needle aspiration cytology befor it, and it is the best diagnostic methods to diagnose the pathology of the lymphadenopathy, and all patients are treated according to his or her condition and there was no death rate during our study.