Palpable lymph nodes of the neck in Swedish schoolchildren

Larsson, L O; Bentzon, Michael Weis; Kelly, Katie; Mellander, Lotta; Skoogh, Bengt-Eric; Strannegård, Inga-Lisa; Lind, A

doi:10.1111/j.1651-2227.1994.tb12992.x

Cited by 53 publications

(35 citation statements)

References 13 publications

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“…Palpable lymph nodes may be found in the neck with a rate higher than 90% especially in children aged between 4 and 8 years (5). In another study, this rate was reported to be 38-45% in school aged healthy children (6). Although lymphadenomegaly is observed frequently especially in the childhood, it leads to concern in families and physicians because of the possibility of a malign disease.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of children with lympadenopathy

et al. 2017

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Aim: To examine children who present with enlargement of lymph nodes in terms of demographic, clinical, serological and radiological aspects. Material and Methods:Ninety-eight patients who presented with a complaint of enlargement of lymph nodes were examined in terms of demographic, clinical, serological and radiological aspects by screening file data retrospectively. The character of lymph nodes (reactive, malign) was evaluated according to the distribution, number, sizes and blood supply determined in ultrasonographic measurements. Fisher's Exact test and Mann-Whitney U Test were used in comparison of the groups. Kappa value was used in assessment of compatibility between the two groups.Results: Cervical lymphadenomegaly was found most frequently in accordance with the complaint of swelling in the neck. Erythrocyte sedimentation rate, ultrasonography, Epstein-Barr virus (EBV) and cytomegalovirus (CMV) IgM were not found to be statistically significatly different between the normal and abnormal physical examination groups (erythrocyte sedimentation rate; p=0.623, USG; p=0.753, EBV and CMV; p=1.00). Cytomegalovirus and EBV IgM were not found to be statistically significatly different between the normal and abnormal ultrasonography groups (CMV; p=0.35, EBV; p=0.36). There was no compatibility between physical examination and ultrasonography (=0.32). Conclusion:Lymphadenopathy is a common problem in the childhood and necessitates a careful physical examination and follow-up. Laboratory and imaging methods should be used when necessary. Although lymphadenopathy is mostly related with infections, care should be taken in terms of malignancy and malignancy should be eliminated. The important point is systemic evaluation and follow-up of the patient. It is important to note physical examination findings and clinical follow-up findings, because frequent ultrasonographic investigations may confuse physicians and families with high values of lymph node measurements despite normal physical examination. Therefore, using our fingertips with a good physical examination is still our most sensitive diagnostic tool instead of ultrasonography. (Türk Ped Arş 2014; 49: 30-5)

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Section: Discussionmentioning

confidence: 99%

Evaluation of children with lympadenopathy

et al. 2017

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“…Small lymph nodes are frequently palpable in health in the jugulodigastric area in adults and additionally in the posterior neck in young children. 38,39 There have been attempts to develop protocols for management of enlarged superficial nodes [14][15][16] but frequently the most important diagnostic tool is examination by an experienced clinician since suspicion of pathology is multifactorial and determined by size, form, consistency, site, associated symptoms and signs, and risk factors for disease. Following history taking and close examination of the area of nodal drainage and of other lymph node sites, performed by a clinician knowledgeable of locoregional disease processes, any suspicious node is subjected to fine needle aspiration cytology.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Biopsy of Lymph Nodes of the Neck, Axilla and Groin: Rhyme, Reason or Chance?

Moor

Murray

Inwood

et al. 2008

annals

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INTRODUCTION Improving patient pathways of care is becoming increasingly important in the delivery of timely, appropriate surgical care. With this aim, we analysed the referral and management pathway of patients undergoing diagnostic superficial lymph node biopsy.PATIENTS AND METHODS A retrospective review of case notes of patients undergoing diagnostic superficial lymph node biopsy over 3 years, 1998-2000 at the Bradford Hospitals NHS Trust. Indication for surgical biopsy was based on clinical suspicion following assessment in the out-patient clinic for the majority, and arrangement of investigations as deemed appropriate. There were no clinical algorithms in use during the study period.RESULTS There was no evidence for the use of explicit protocols for referral or management. Biopsy was often delayed. Of 268 patients referred from primary care, referral was made to any of 14 hospital departments with 39% (105 of 268) attending more than one outpatient appointment, and 155 (41 of 268) attending more than one department. Eighteen percent (47 of 268) of patients were informed of their diagnosis within 6 weeks of referral and 42% (113 of 268) within 3 months of referral. Nine percent (24 of 268) underwent pre-operative fine needle aspiration cytology. Of patients with enlarged neck nodes, 29% (52/180) had examination of the upper aero-digestive tract.CONCLUSIONS The study supports the introduction of co-ordinated problem-based referral and management pathways for the management of patients with enlarged superficial lymph nodes supported by regular audits of practice.

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“…About 38% to 45% of otherwise normal children have palpable cervical lymph nodes [ 2 ]. Cervical lymphadenopathy is usually defi ned as cervical lymph nodal tissue measuring more than 1 cm in diameter [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Cervical lymphadenitis: Etiology, diagnosis, and management

Leung

Davies²

2009

Curr Infect Dis Rep

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Cervical lymphadenopathy is a common problem in children. The condition most commonly represents a transient response to a benign local or generalized infection. Acute bilateral cervical lymphadenitis is usually caused by a viral upper respiratory tract infection or streptococcal pharyngitis. Acute unilateral cervical lymphadenitis is caused by streptococcal or staphylococcal infection in 40% to 80% of cases. Common causes of subacute or chronic lymphadenitis include cat-scratch disease and mycobacterial infection. Generalized lymphadenopathy is often caused by a viral infection, and less frequently by malignancies, collagen vascular diseases, and medications. Laboratory tests are not necessary in most children with cervical lymphadenopathy. Most cases of cervical lymphadenitis are self-limited and require no treatment. The treatment of acute bacterial cervical lymphadenitis without a known primary source should provide adequate coverage for both Staphylococcus aureus and Streptococcus pyogenes.

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Palpable lymph nodes of the neck in Swedish schoolchildren

Cited by 53 publications

References 13 publications

Evaluation of children with lympadenopathy

Evaluation of children with lympadenopathy

Diagnostic Biopsy of Lymph Nodes of the Neck, Axilla and Groin: Rhyme, Reason or Chance?

Cervical lymphadenitis: Etiology, diagnosis, and management

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