The increasing phenomena of cervical lymphadenopathy and relations to malignant and chronic diseases in Assiut and Sohag populations
Khaled Ahmed El-Sagheer. El-Dabee
Background and aim: the phenomena of enlarged cervical lymph nodes is considered as a major disease related to chronic and malignant conditions in Sohag and Assiut populations. The aim is to clarify the most common etiology of cervical lymphadenopathy especially the catastrophic malignant and chronic casesPatients and methods: This study was conducted at the surgical departments in both Al-Azhar university, Assiut branch and Sohag university hospital, over 2 years period (February, 2013 – January, 2015) to 146 patients [84 male (58%) and 62 female (52%)] between ages of 5 months and 80 years with enlarged cervical lymph node. All the patients were subjected to routine history and investigations, and after the results of histopathology, the patients were divided into two groups, Group I, included the benign cases and group II, the malignant cases.Results: this study were conducted on 146 patients [84 male (58%) and 62 female (52%)] all cases had enlarged cervical lymph node. Group I, the benign conditions were 48 patients, while group II the malignant cases were 98 patients. Group I showed that the highest incidence is tuberculosis (14.58%) of cases, nonspecific enlargement were (45.83%), and (4.66%) had Epstein Barr virus. While in the malignant Group II, (71.42%) Lymphoma were the most common, metastatic lymphadenitis were (20.4%) and (2.04%) secondary to thyroid malignancy. Conclusion: chronic specific lymphadenitis especially Tuberculosis and malignancy are common in chronic cervical lymphadenopathy in Assiut and Sohag populations. That necessitate the need for special protocol for diagnosis and management of that cases.