Cervical adenopathy remains a current problem in pediatrics. Although most of the cases have an infectious or benign etiology, it is important. Cette étude prospective menée du 1er Septembre au 31 Août chez 75 patients reçus pour adénopathies cervicales chroniques dans le service. Get this from a library! Les adénopathies cervicales néoplasiques.. [Y Cachin].

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The causes are varied, and may be inflammatory, degenerative, or neoplastic. FLE year-old male from an urban environment is admitted to hospital in September for fever, unwellness, and dysphagia. This led to an obvious improvement of the symptoms as follows: In individuals over the age of 50, metastatic enlargement from cancers most commonly squamous cell carcinomas of the aerodigestive tract should be considered.

Oral and maxillofacial medicine: Retrieved from ” https: Values above 2 are associated with a benign process, whereas values below 2 are correlated with malignancy [ 11 ].

In such cases, this discovery leads to a search for the primary malignancy, firstly in the nearby area with endoscopy, “blind” biopsies, and tonsillectomy on the side of the lymphadenopathy. Sometimes metastatic cervical lymph node is detected before the main cancer. The persistence of a cervical adenopathy for more than 3 weeks warrants a biopsy.

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Journal de la Recherche Scientifique de l’Université de Lomé

Contemporary oral and maxillofacial surgery 5th ed. We report a case of right laterocervical adenopathy in a year-old teenager admitted to hospital with an episode of cervicalez associated with dysphagia, congested pharynx, and pultaceous deposits.

The first ENT examination revealed pseudomembranous tonsillitis.

This page was last edited on 28 Augustat Clinical problem solving in dentistry 3rd ed. Introduction Cervical adenopathy remains a current problem in pediatrics. The onset of the adenopathy before the episode and the ultrasound modifications raised the suspicion of a malignancy, later confirmed by the histopathologic examination of the lymph node excision. On ultrasoundB-mode imaging depicts lymph node morphology, whilst power Doppler can assess the vascular pattern.


Cervical lymphadenopathy is a sign or a symptom, not a diagnosis. No hepatosplenomegaly was detected and no associated adenopathies were recorded. Metastatic lymph nodes are enlarged because tumor cells have detached from the primary tumor and started growing in the lymph node “seeded”. Al Kadah et al. By using this site, you agree to the Terms of Use and Privacy Policy.

Subscribe to Table of Contents Alerts. Case Report FLE year-old male from an urban environment is admitted to hospital in September for fever, unwellness, and dysphagia. The thoracic and abdominal MRI was normal. In addition, it must be used to remove the erroneous interpretations resulting from these techniques. The elements that suggested malignity were the onset of the adenopathy 6 months before, the persistence and the ultrasound aspect of the cervical mass, round shape, Solbiati index lowered below 2, the absence of the echogenic hilus, the aspect of calcification inside adenpoathies lymph node, cervjcales the hypoechoic mass with hyperechoic echoes.

The Solbiati index SI represents the ratio of the largest to the smallest diameter. International Journal of Surgical Oncology.

Cervical lymphadenopathy – Wikipedia

This includes 7 criteria: Sometimes the infectious context can mask or unmask a malign chronic disease with insidious evolution. Case Reports in Pediatrics. To receive news and publication updates for Case Reports in Pediatrics, enter your email address adenopatyies the box below.

Malign causes include leukemias, lymphomas, neuroblastoma, and rhabdomyosarcoma. Lymph nodes may become enlarged in malignant disease. The authors declare that crevicales is no conflict of interests regarding the publication of this paper. The following observations were made: Cervical adenopathy remains a current problem in pediatrics. The histopathologic examination confirmed the malignity of the adenopathy. None of these cases was of a child, with the average age of the cases being 58—62 years.


Oral and maxillofacial surgery.

No evidence of metastasis in other areas was found. Initially the adenopathy was considered to be secondary to a coinfection with Streptococcus B-hemolytic and Epstein-Barr virus, as suggested by the positive bacteriological and serological tests. Figure 3 shows the intraoperative aspects during lymph node excision. Clinical oral medicine and pathology. Cervical lymphadenopathy can be thought of as local where only the cervical lymph nodes are affected, or general where all the lymph nodes of the body are affected.

The lymph node ultrasound is a useful element that can raise malignancy suspicions even in an apparent benign clinical context. The lymphoepithelial carcinoma of the pharynx is a malignity that is histologically characterised by an undifferentiated carcinoma with intermixed reactive lymphoplasmacytic infiltrate, seldom encountered in childhood [ 10 ]. Distinguishing between benign and malign adenopathies remains a challenge and could represent a source of error in a diagnosis.

The results of the laboratory tests are as follows: The term lymphadenopathy strictly adenopathhies refers to disease of the lymph nodes[1] though it is often used to describe the enlargement of the lymph nodes. In lymphoma, usually there are multiple enlarged nodes which feel rubbery to palpation. cerviczles

Hence, the patient was given penicillin for 10 days. View at Google Scholar A.