Servikal Lenfadenopatili Olgularımızın Retrospektif Değerlendirilmesi

Abstract

Objective: Cervical lymphadenopathy is a common finding in childhood and creates anxiety in the families. It usually results from infections but can also signal a more serious underlying disease so its management and clinical follow-up ranges from observation and comforting the family to aggressive medical and surgical procedures. We aimed to investigate the etiology, and the clinical and laboratory features of cervical lymphadenopathy at the children’s oncology outpatient clinic. Material and Methods: Ninety-four patients with cervical lymphadenopathy that were referred to the children’s oncology clinic from general pediatrics in Sanliurfa Childrens Hospital were retrospectively analyzed between May 2011 and June 2012. Results: The mean age was 5.4±3.7 years. 22 (23.4%) patients were female and 72 (76.6%) were male. Seventeen (18.1%) patients had unilateral and the other 77 (81.9%) cases had bilateral cervical lymph nodes. The long axis diameter of the lymph nodes was > 3 cm in 9 (9.6%) patients and 1 to 3 cm in the other 85 (90.4%) patients. A total of 12 (13%) patients had lymph node excisional biopsy performed. We found seven Hodgkin’s lymphoma, 2 reactive hyperplasia, 1 tuberculosis lymphadenitis, 1 nodular fasciitis and 1 necrotizing lymphadenitis. The other 82 (87%) patients had lymphadenopathy related to nonspecific infections that regressed in 4-6 weeks. Conclusion: We wanted to emphasize the childhood cervical lymphadenopathy is often originated from infectious reasons.