[Cervical lymph node tuberculosis: diagnosis and treatment].
作者信息
Zaatar R, Biet A, Smail A, Strunski V, Page C
机构信息
Service d'ORL et de chirurgie cervicofaciale, hôpital Nord, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France.
出版信息
Ann Otolaryngol Chir Cervicofac. 2009 Nov-Dec;126(5-6):250-5. doi: 10.1016/j.aorl.2009.09.001.
OBJECTIVES
The purpose of this study was to evaluate the advantages of surgery for diagnosis and treatment of cervical lymph node tuberculosis.
MATERIAL AND METHODS
This was a retrospective study from 1st January 1998 to 31st December 2007 including 30 patients with cervical lymph node tuberculosis. The population included 60% autochthones with a mean age of 47.1 years and a female predominance (73.33%).
RESULTS
The lymph nodes were most often supraclavicular, unilateral, firm, and a mean 3 cm at its largest span. Lymph nodes were excised for diagnosis in 22 patients, which demonstrated specific granulomatous and giant cell lesions with caseous necrosis in 21 patients out of 22. Five abscessed adenopathies required surgical drainage, and three cases required repeated lymph node cleaning after well-conducted medical treatment.
CONCLUSION
Surgery retains an important place in the diagnosis and treatment of cervical lymph node tuberculosis.
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