[Head and neck lymph node lesions].
In 1999-2000, puncture cytological diagnosis was made in 134 patients. Enlarged lymph nodes (LN) were detected in 114 patients. The enlargement occurred due to nonspecific inflammation (38.6%), common hyperplasia (26.3%), tuberculosis (18.5%), metastases of cancer (14.9%), sarcoidosis (1.7%). LN tuberculosis was a frequent finding in adult women--in 2/3 of all tuberculosis cases. In children it was rare (3.7%). LN enlargement was caused by cancer in divided by of the cases. LN tuberculosis was detected in adults 5 times more frequently than in children. M. tuberculosis were detected bacterioscopically in tuberculous lymph nodes puncture biopsies only in 6 examinees (28.6%). The Mantoux test appeared unreliable in diagnosis of peripheral LN tuberculosis. Tuberculous LN located under the mandible or on the neck. Specific non-tuberculous processes, primarily malignant tumors, were revealed in enlarged parotid and supraclavicular LN in half of the cases.
Chumakov
F I
FI
Khmeleva
R I
RI
D000293:Adolescent; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D002648:Child; D002675:Child, Preschool; D005260:Female; D006257:Head; D006689:Hodgkin Disease / Q000473:pathology; D006801:Humans; D006965:Hyperplasia / Q000473:pathology; D008198:Lymph Nodes / Q000473:pathology*; D008199:Lymphadenitis / Q000473:pathology*; D008207:Lymphatic Metastasis / Q000473:pathology*; D008297:Male; D008545:Melanoma / Q000473:pathology; D008875:Middle Aged; D009333:Neck; D012507:Sarcoidosis / Q000473:pathology; D014388:Tuberculosis, Lymph Node / Q000473:pathology*