Metastatic Cervical Lymphadenopathy in Najaf City: Clinico-Pathological Analysis

Firas M Hassan, Waseem A Elkatib

Abstract


Background: Cervical lymphadenopathy (LAP) is a common problem facing doctors. Most run a benign course. It is the job of these doctors to differentiate it from tuberculosis and metastatic lymphadenopathy. Different types of biopsies can be used to reach diagnosis including FNAC, incisional and excisional biopsies. Aim: The aim of this study is to describe the clinic-pathological patterns of metastatic cervical LAP in Al-Najaf city. Methods: A descriptive cross-sectional study was carried out for a period of one year from Jan 1, 2013 to Jan 1, 2014 in the general surgery and otolaryngology departments of Al-Sadar Medical City and surgical department of Kufa university-Faculty of medicine. The data was collected by using a predesigned form including information as age, gender, level of lymph node involvement, and other clinical features. Results: Among the total 60 patients included in the study, 28 patients were males and 32 were females. Their age ranging from 20 to 68 y with a mean age equals to 53.6 y. The highest age group was the sixth decade with 32 (53.3%) patients. A known primary site was discovered in 93.3% of the patients. The highest primary site malignancy was that of the larynx with 35.7% of total patients with known primary tumors. 38.3% of the patients had N3 stage at the time of presentation. Conclusion: Inflammatory neck disease is very common in our country, one should not forget the possibility of metastatic carcinoma in an adult presenting with a rapidly growing, hard, non-tender, lateral neck mass. Early diagnosis is paramount as any delay will eliminate the best opportunity for effective treatment with curative intent.

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