PERIPHERAL LYMPH GLANDS;

ARE WE JUSTIFIED IN TAKING THESE OUT FOR HISTOPATHOLOGY IN OUR PATIENTS?

Authors

  • Muhammad Shahid Farooq King Edward Medical University, Lahore, Pakistan.
  • Samina Qamar King Edward Medical University, Lahore, Pakistan.
  • Muhammad Rashid Anjum University of Health Sciences, Lahore, Pakistan.
  • Rabia Altaf King Edward Medical University, Lahore, Pakistan.
  • Muhammad Azhar Farooq King Edward Medical University, Lahore, Pakistan.

DOI:

https://doi.org/10.29309/TPMJ/2017.24.10.718

Keywords:

Lymph Node,, Cervical,, Axillary,, Inguinal,, Diagnostic Yield.

Abstract

Background: Enlarged lymph glands almost always represent a local or systemic
disease that may be benign or malignant. We see many patients including the referred ones
in our OPD clinic and subsequently do the excision of quite a big proportion of the enlarged
glands especially the cervical glands. Study Design: Descriptive study. Setting: Retrospect
by reviewing the operative and histopathology department of King Edward Medical University.
Period: April 2016 to April 2017. Methods: We will analyse the record of 121 patients who had
peripheral lymph gland enlargement and presented to us. Results: Ours results show that the
mean age of our patients was 25.03±18.06 years. We found that 40% of our patients had a
definitive diagnosis from the histopathology of excised lymph nodes while 35.5% of the patients
had reactive hyperplasia and 25% of the patients had inconclusive results and we were unable
to help them. Conclusion: Our results conclude that the lymph nodes are a very good source of
getting the diagnosis especially the cervical lymph nodes with a diagnostic yield of 76.4% and
we may need to have a more robust criteria for excising the peripheral lymph glands in order to
improve the diagnostic yield from 40%.

Author Biographies

Muhammad Shahid Farooq, King Edward Medical University, Lahore, Pakistan.

MBBS, MD, MCPS, FCPS, MRCSEd
Assistant Professor,
Department of Surgery,

Samina Qamar, King Edward Medical University, Lahore, Pakistan.

MBBS, FCPS (Histopathology)
Assistant Professor,
Department of Pathology,

Muhammad Rashid Anjum, University of Health Sciences, Lahore, Pakistan.

MPH
MHPE Student (UHS)
Department of Medical Education,

Rabia Altaf, King Edward Medical University, Lahore, Pakistan.

MBBS
Demonstrator,
Department of Pathology,

Muhammad Azhar Farooq, King Edward Medical University, Lahore, Pakistan.

MBBS, DCH, FCPS (Paeds), MRCPCH
(UK)
MRCPE (EDIN), MRCPS (GLASG)
Assistant Professor
Department of Paediatric Medicine,

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Published

2017-10-06