English

Abstract

Background and Objectives The analysis of lymph node enlargement in the neck and predicting their clinical be haviour is not an easy task. There can often be diagnostic dilemmas as the diseases that affect the cervical lymph nodes mostly resemble each other. These diseases also include neoplastic lesions, where accurate diagnosis is the key to appropriate manageme nt. The study intends to find out systematically the various pathological conditions presenting with enlarged lymph nodes in the neck, also the various modes of clinical presentation and behaviour of these conditions. Relevant investigations have also been studied. The study population consisted of patients above 12 years presenting with cervical lymph node enlargement. A proforma drafted for study of these patients was used. Patient was examined systematically giving due importance to local examination. A clinical diagnosis was arrived at and further investigations were done to confirm the diagnosis. Treatment was instituted appropriately and follow-up done. Majority of the cases in the study had non -neoplastic causes for cervical lymphadenopathy with tuberculosis being the most common. Male to female ratio of 1.22:1 noted with most cases between 12-30 years age group. Presence of clinical symptoms had limited significance. Posterior triangle group of cervical lymph nodes was most commonly affected in tuberculosis, while lymphomas predominantly showed more than one site involvement. Variable results were noted among the groups of lesions, with regard to local characteristics like size, number, laterality, mobility , caseation, involvement of other groups of lymph nodes, etc. FNAC inexpensive, quick in getting the results and easy to perform, sac essential diagnostic procedures.