Your browser doesn't support javascript.
loading
Children with significant cervical lymphadenopathy: clinicopathological analysis and role of fine-needle aspiration in Indian setup.
Khan, Rizwan A; Wahab, Shagufta; Chana, R S; Naseem, S; Siddique, S.
Afiliação
  • Khan RA; Division of Paediatric Surgery, Department of Surgery, Jawaharlal Nehru Medical College Hospital (JNMCH), Aligarh Muslim University (AMU), Aligarh, India. drrizwanahmadkhan@yahoo.co.in
J Pediatr (Rio J) ; 84(5): 449-54, 2008.
Article em En, Pt | MEDLINE | ID: mdl-18923792
OBJECTIVE: To study the clinicopathological profile of children from India with cervical lymphadenopathy and the role of fine-needle aspiration cytology with special emphasis on tuberculosis as a cause. METHODS: A total of 89 children in the age group of 10 months to 12 years, presenting to our hospital from April 2004 to March 2005, were included. All the patients underwent thorough clinical and investigational assessment vis-à-vis cervical lymphadenopathy. Outcome measurements included clinical status and ability of conventional tests to categorize different types of lymphadenopathy and their utility in diagnosing tubercular lymphadenitis. Interobserver variability was analyzed measuring kappa test and was found to be in agreement. RESULTS: Reactive hyperplasia was the most common type of lymphadenitis, followed by granulomatous involvement. Unilateral posterior triangle lymph nodes were the most commonly affected in the tubercular cervical lymphadenopathy group. Fine-needle aspiration followed by Ziehl-Neelsen staining, histopathology and culture in combination were able to perform the diagnosis in 85.7% of cases affected with tubercular etiology. CONCLUSIONS: Fine-needle aspiration is a valuable diagnostic tool in the management of children with the clinical presentation of enlarged cervical lymph nodes. The technique reduces the need for more invasive and costly procedures, especially in a Third World country. Culture and histopathology, however, should be considered in cases where repeated fine-needle aspiration cytology is non-diagnostic.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Linfonodos / Doenças Linfáticas Limite: Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Asia Idioma: En / Pt Revista: J Pediatr (Rio J) Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Índia País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Linfonodos / Doenças Linfáticas Limite: Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Asia Idioma: En / Pt Revista: J Pediatr (Rio J) Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Índia País de publicação: Brasil