Clinical analysis of 306 cases of cervical lymphadenopathy.

Lew, Woo Jin; Lim, Byung Sung; Choi, Won Young; Shin, Dong Ho; Park, Sung Soo; Lee, Jung Hee

doi:1991.38.1.45

Tuberc Respir Dis > Volume 38(1); 1991 > Article

Original Article

Tuberculosis and Respiratory Diseases 1991;38(1):45-52.
DOI: https://doi.org/10.4046/trd.1991.38.1.45 Published online March 1, 1991.

Clinical analysis of 306 cases of cervical lymphadenopathy.

Woo Jin Lew¹, Byung Sung Lim², Won Young Choi², Dong Ho Shin², Sung Soo Park², Jung Hee Lee²

¹Korea Institude Tuberculosis, Korea National Tuberculosis Association, Seoul, Korea
²Department of Internal Medicine, Hanyang University School of Medicine, Seoul, Korea

Abstract

Clinical analysis was performed on 306 patients with cervical Iymphadenopathy who were diagnosed histologically by fine needle aspiration biopsy cytology (FNABC) and / or excisional biopsy from Jan 1986 to Jan 1990 at Hanyang University hospital. The results obtained were as follows: 1) Of 306 patients with cervical Iymphadenopathy, 216 (70 .6%) were inflammatory lesions, and 90 (29 .4%) malignant lesions. Tuberculous Iymphadenitis of inflammatory lesions was most common (134 cases: 62%). Of malignant lesions, metastatic cancer was more frequent (75 cases: 83.3%). 2) The sex ratio were as follows: inflammatory lesion; M:F=1 : 1. 8 (tuberculous lymphadenitis; M : F=1:2.3) malignant lesion; M : F= 1. 5 : 1 (metastatic cancer; M : F=2.6 : 1) 3) The peak age of inflammatory Iymphadenopathy was 20-29 years old (38.9%), and that of malignant lesion 50-59 years old (46.7%). 4) In more than half of tuberculous lymphadenitis and metastatic cancer, 야le location of enlarged Iymph nodes was one side of the neck and the number was more than one. 5) The common primary sites of metastatic cancer were lung and stomach. In 11 cases (14.7%), the primary site could not be found. 6) The sensitivity and the specificity of fine needle aspiration biopsy cytology (FNABC) was 0.83 & 1.0 in metastatic cancer respectively.