Clinical and Aetiological Pattern of Cervical Lymphadenopathy in Bangladesh

ABSTRACT

Objective: In this study our main aim is to evaluate clinical andaetiological pattern of cervical lymphadenopathy inBangladesh.Method: This cross-sectional analytical study was done Total260 patients with cervical lymphadenopathy, persisting for >2weeks either localized or generalized attending inpatient andoutpatient department (particularly surgical, medical, pediatrics,ENT, dermatology) of Dhaka Medical College Hospital, fromJuly 2009 to December 2011.Result: In the majority (85%) of patients had anorexia followedby 76.5% fever, 69.2% weight loss, 34.6% cough, 15% pain,7.7% haemoptysis, 4.6% discharging sinus, 2.6% change ofvoice and 2.3% dysphagia. Of the 82 patients diagnosed asmetastatic carcinoma (by tissue diagnosis), the commonestprimary site was lung (41.5%) followed by stomach (14.6%),thyroid (12.2%), nasopharynx and oral cavity (each 7.3%),breast 4.9%, testes 2.4%. In 9.8% of the cases the primary sitewas not discovered.Conclusion: From our result, we can conclude that, anorexia,fever and weight loss were common clinical feature intuberculosis, secondary metastasis and lymphoma. Furtherstudy is needed for better outcome.