典型文献
Tuberculous and non-tuberculous cervical lymphadenopathy incidence and distribution in Somalia from 2016 to 2020: A review of 241 cases
文献摘要：
Objective::To determine the incidence of tuberculous lymphadenitis (TBL) and other pathologies in cervical lymphadenopathies in Somalia and accompanying radiological findings.Methods::In this hospital-based retrospective study, the demographic character-istics, pathology results and radiological findings of 263 patients who underwent ultrasound (US)-guided cervical lymph node biopsy between January 2016 and February 2020 were analyzed.Results::Of 241 patients 118 men and 123 women (mean age 27.9 ± 18.1 years) included in the study, 46.1% (
n = 111) were diagnosed as necrotizing granulomatous lymphadenitis (caseified, consistent with TBL) and 21.6% (
n = 12, atypical lymphoid cells and
n = 40, metastases) as malignancy. The most common type of metastasis was squamous cell cancer (
n = 31), and the primary source of most of them was esophageal cancer (16/31, 51.6%). The age of patients with TBL was significantly lower than that of non-TBL (21.9 ± 14.6
vs. 41.9 ± 24.6,
P= 0.003) and the incidence of TBL in pediatric patients was statistically higher (58.0%
vs. 21.5%,
P= 0.019). The rate of patients with TBL being localized at level 4 and level 5 was significantly more than non-TBL patients (18.0%
vs. 10.0% and 23.4%
vs. 10.8%, respectively,
P = 0.01). Half of patients with TBL who have chest radiography had pathological findings; consolidation and bronchopneumonia were present in 52.6% of them. There were 2 patients with paravertebral abscess and one patient with gastrointestinal tuberculosis.
Conclusion::In Somalia, in the presence of cervical lymphadenopathy, after diagnosis by using US-guided biopsy; primarily considering of TBL and malignancy, thoracic involvement should be investigated, and esophageal carcinoma must be excluded in terms of metastatic lymph node.
文献关键词：
Cervical lymphadenopathy;Tuberculosis;Tumor metastasis;Ultrasound-guided biopsy
中图分类号：
作者姓名：
Tahtabasi Mehmet;Sahiner Fatih
作者机构：
Department of Radiology, University of Health Sciences-Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia;Department of Medical Microbiology, University of Health Sciences-Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia
文献出处：
引用格式：
[1]Tahtabasi Mehmet;Sahiner Fatih-.Tuberculous and non-tuberculous cervical lymphadenopathy incidence and distribution in Somalia from 2016 to 2020: A review of 241 cases)[J].世界耳鼻咽喉头颈外科杂志（英文）,2022(04):361-369
A类：
Somalia,lymphadenopathies,caseified,bronchopneumonia
B类：
Tuberculous,tuberculous,cervical,lymphadenopathy,incidence,distribution,from,review,cases,Objective,To,determine,lymphadenitis,TBL,other,pathologies,accompanying,radiological,findings,Methods,In,this,hospital,retrospective,study,demographic,character,istics,pathology,results,patients,who,underwent,ultrasound,US,guided,node,biopsy,between,January,February,were,analyzed,Results,Of,women,mean,years,included,diagnosed,necrotizing,granulomatous,consistent,atypical,lymphoid,cells,metastases,malignancy,most,common,type,metastasis,was,squamous,cancer,primary,source,them,esophageal,significantly,lower,than,that,pediatric,statistically,higher,rate,being,localized,level,more,respectively,Half,have,chest,radiography,pathological,consolidation,present,There,paravertebral,abscess,one,gastrointestinal,tuberculosis,Conclusion,presence,after,diagnosis,by,using,primarily,considering,thoracic,involvement,should,investigated,carcinoma,must,excluded,terms,metastatic,Cervical,Tuberculosis,Tumor,Ultrasound
AB值：
0.53505
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