Chronic cervical lymphadenopathy in children: Role of ultrasonography

Pandey, Anand; Kureel, Shiv Narain; Pandey, Jigyasa; Wakhlu, Ashish; Rawat, Jiledar; Singh, Tej Bali

doi:10.4103/0971-9261.93963

Cited by 14 publications

(8 citation statements)

References 18 publications

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“…20 Mild-looking cervical lymphadenopathy with no obvious aetiological cause should be monitored frequently for at least 2-4 weeks. 21 Caution should be exercised in excluding a diagnosis with fine-needle aspiration as it may not lead to a definitive diagnosis in detecting pathogens and malignancies in the presence of epithelioid cell granulomas and necrosis. 15 An excision biopsy, to obtain sufficient tissue, is the examination of choice to confirm the diagnosis in the case of a suspected malignancy, persistent lymphadenopathy or resistant to antibiotic treatment.…”

Section: Discussionmentioning

confidence: 99%

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Cervical lymphadenopathy of Togolese children in a tropical context: clinicopathological study

et al. 2020

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Our study describes the epidemiology and aetiology of cervical lymphadenopathy in children diagnosed between 2003 and 2017 at the pathology laboratory of Lomé, Togo. A total of 221 cases were collected. The average age of diagnosis of the study population was 9.8 ± 0.3 years and consisted of 118 (53.4%) boys. HIV was confirmed by indirect ELISA test in 69 (31.2%) cases. The cohort consisted of infections (n = 128, 57.9%), tumours (n = 85, 38.5%) and others (n = 8, 1.6%). The main infectious aetiology was tuberculosis (n = 84). Tumour aetiology consisted of 79 primary malignancies and three metastatic cases. Primary tumours consisted predominantly of lymphoma (n = 74), with Burkitt's lymphoma (n = 44) being the most common. Tuberculosis on a background of HIV infection remains the dominant cause of cervical lymphadenopathy in the tropical region of Togo.

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Section: Discussionmentioning

confidence: 99%

“…20 Mild-looking cervical lymphadenopathy with no obvious aetiological cause should be monitored frequently for at least 2–4 weeks. 21…”

Section: Discussionmentioning

confidence: 99%

Cervical lymphadenopathy of Togolese children in a tropical context: clinicopathological study

et al. 2020

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“…Although enlarged cervical lymph nodes are common in children, during the 1st 6 years of life, neuroblastoma and lymphoma are the most common tumors associated with cervical lymphadenopathy. [9] The role of US was to identify nodes suspected of malignancy, with the round shape and long axis to short axis ratio less than 2. [10] None of the enlarged lymph nodes in our study had such features and that is why all enlarged lymph nodes were diagnosed as benign lymphadenopathy.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound screening for neoplasms in children up to 6 years old

Jędrzejewski

Woźniak²,

Pawelec³

et al. 2016

Medicine

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The aim of the ultrasound (US) screening program was to detect neoplastic lesions in children, together with other pathologies of the developmental age in the area of the neck, abdomen, female pelvis, and scrotum in boys.US screening scans, including cervical, abdominal, pelvical, and scrotal US, were performed in the population of asymptomatic children aged from 9 months to 6 years. The children were scanned in Mobile Pediatric US Unit, consisting of 2 independent consulting rooms.The scans of 14,324 children were analyzed, 7247 boys and 7077 girls. Totally 42,538 US examinations were performed, including 14,187 cervical scans, 14,259 abdominal scans, 6942 female pelvical scans, and 7150 scrotal scans. Totally 5426 abnormalities were detected, which represent 12.7% of all examinations and 30% of patients. Three tumors were recognized, which are renal malignant tumor diagnosed as Wilms tumor, neurogenic tumor of the rib, and teratoma of the testis.US screening in pediatric population can be used to reveal lesions inaccessible to clinical examination, like tumors or other pathologies of developmental age before the onset of clinical symptoms. Due to the large number of detected abnormalities it should be recommended to the whole population of certain age.

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“…In a study by Pandit A et al out of twenty cases of pyogenic lymphadenitis seven cases revealed tubercular lymphadenitis on subsequent histological examination 13 .…”

Section: Observationmentioning

confidence: 98%

Causes of Cervical Lymphadenopathy - A Cytologic Study

Biligi¹,

Radha²

2014

jemds

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Cervical lymphadenopathy is a common clinical presentation in various departments of clinical practice. This study was done to know the prevalence of causes responsible for cervical lymphadenopathy, distribution of lesions among the age & sex groups and to emphasize the role of fine needle aspiration cytology (FNAC) in etiologic workup in cervical lymphadenopathy. 420 patients with cervical lymphadenopathy were assessed clinically, by laboratory and by FNAC study over a period of one year. The results concluded that tuberculosis is the most common cause of cervical lymphadenopathy in the south Asian population followed by reactive lymphadenitis and metastatic deposits. Reactive lymphadenitis is the commonest cause of cervical lymph node enlargement in pediatric age group, infective in 11-40 yrs. age group including tuberculous and suppurative lymphadenitis, neoplastic lesions in more than 40 age group including metastatic disease and nonhodgkins lymphomas. FNAC is an important diagnostic modality for the etiologic workup in significant cervical lymphadenopathy and is almost as sensitive and specific as excision lymph node biopsy when an adequate aspirate is examined by expert eyes.

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Chronic cervical lymphadenopathy in children: Role of ultrasonography

Cited by 14 publications

References 18 publications

Cervical lymphadenopathy of Togolese children in a tropical context: clinicopathological study

Cervical lymphadenopathy of Togolese children in a tropical context: clinicopathological study

Ultrasound screening for neoplasms in children up to 6 years old

Causes of Cervical Lymphadenopathy - A Cytologic Study

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