| Cervical lymphadenopathy in Khartoum. | |
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MedLine Citation:
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PMID: 1460701 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this prospective study, 92 patients with cervical lymphadenopathy presenting at Khartoum Teaching Hospital were studied. The commonest cause was found to be tuberculous cervical lymphadenitis (TCA) comprising 49%, followed by malignancy (35%) including both primary neoplasm (15 cases) and metastatic lesions (17 cases). The tuberculous group were young patients mainly from low socioeconomic classes. The most affected nodes were in the posterior triangle, followed by upper jugular and supraclavicular nodes. In the malignant group, half the patients had primary reticulo-endothelial neoplasm and the other half had metastatic tumours, most often from the nasopharynx. The triad of symptoms of fever, fatigue and loss of weight was found equally in tuberculous and lymphoma patients. Hence empirical use of antituberculous therapy without histological diagnosis resulted in delay in diagnosis of malignancy. Antituberculous therapy should be preceded by histological proof wherever possible. |
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Authors:
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J Kheiry; M E Ahmed |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of tropical medicine and hygiene Volume: 95 ISSN: 0022-5304 ISO Abbreviation: J Trop Med Hyg Publication Date: 1992 Dec |
Date Detail:
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Created Date: 1993-01-13 Completed Date: 1993-01-13 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0406044 Medline TA: J Trop Med Hyg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 416-9 Citation Subset: IM |
Affiliation:
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Khartoum Teaching Hospital, Sudan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Female Humans Incidence Lymph Nodes / pathology* Lymphatic Diseases / diagnosis, epidemiology* Lymphatic Metastasis / diagnosis* Lymphoma / diagnosis, epidemiology* Male Middle Aged Neck Prospective Studies Socioeconomic Factors Sudan / epidemiology Tuberculosis, Lymph Node / diagnosis, epidemiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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