Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Clincal Analysis of 306 Cases of Cervical Lymphadenopathy

경부 임파선 질환 306예의 임상적 고찰

  • Lew, Woo-Jin (Korean Institude of Tuberculosis, Korean National Tuberculosis Association) ;
  • Lim, Byung-Sung (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Choi, Wan-Young (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Shin, Dong-Ho (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Park, Sung-Soo (Department of Internal Medicine, Hanyang University, School of Medicine) ;
  • Lee, Jung-Hee (Department of Internal Medicine, Hanyang University, School of Medicine)
  • 류우진 (대한결핵협회 결핵연구원) ;
  • 임병성 (한양대학교 의과대학 내과학교실) ;
  • 최완영 (한양대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실) ;
  • 이정희 (한양대학교 의과대학 내과학교실)
  • Published : 1991.03.31
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Abstract

Clinical analysis was performed on 306 patients with cervical lymphadenopathy 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 lymphadenopathy, 216 (70.6%) were inflammatory lesions, and 90 (29.4%) malignant lesions. Tuberculous lymphadenitis of inflammatory lesions was most common (134 cass: 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 lymphadenopathy 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, the location of enlarged lymph 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.

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