A Clinical Study of Tuberculous Cervical Lymphadenitis.
- Author:
Jin Seong AHN
1
;
Youn Jung KANG
Author Information
1. Department of Surgery, Eul Ji Medical College Hospital, Taejeon, Korea.
- Publication Type:Original Article
- Keywords:
Tuberculous cervical lymphadenitis
- MeSH:
Abscess;
Drainage;
Drug Therapy;
Female;
Follow-Up Studies;
Humans;
Incidence;
Lymphadenitis*;
Male;
Neck;
Neck Dissection;
Recurrence;
Tuberculosis;
Tuberculosis, Pulmonary
- From:Journal of the Korean Surgical Society
1997;53(6):802-808
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical review of 212 cases of tuberculous cervical lymphadenitis during the past 6 years from January 1990 to December 1995 was made at the Department of General Surgery, Eul ji Medical College Hospital,Taejeon. The results are as follows: 1) The age of peak incidence was the 3rd decade (43.3%), and females predominated over males by 3.1 : 1. 2) The time interval from the onset of symptoms to the first visit was less than 3 months in 53.3% of the patients. 3) The location of lymphadenitis was the right neck in 59.9%, the left neck 38.7%, and bilateral in 1.4% of the patients. 4) Signs on the first visit were a mass, a cold abscess and/or a discharge. A palpable mass was the most frequent symptom (86.8%). 5) The incidence of associated pulmonary tuberculosis was 26.9%. 6) Seventy patients (33.0%) had a past history of tuberculosis. Among them, 55.7% had lymphadenitis, 28.6% pulmonary tuberculosis, and 15.7% medical problems at other sites. 7) Treatments of tuberculous cervical lymphadenitis were chemotherapy alone (68.4%) or surgical management combined with chemotherapy (31.6%). The surgical treatments included excision, incision and drainage, and neck dissection in 17.5%, 13.2%, and 0.9% of the patients, respectively. 8) The rate of recurrence was 3.1% (5 cases) for 160 cases, among them, 1.2% (2 cases) involved chemotherapy alone and 1.9% (3 cases) surgery with chemotherapy. The other 52 cases were lost from follow up.
