Sharma Indrika, Gharde Pankaj
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jun 21;16(6):e62864. doi: 10.7759/cureus.62864. eCollection 2024 Jun.
Recurrent cervical lymphadenitis is a common clinical presentation often managed with empiric antibiotic therapy. However, despite antibiotic treatment, persistent lymphadenopathy warrants consideration of alternative etiologies, including malignancy. We present the case of a 71-year-old female with recurrent cervical lymphadenitis that initially responded to antibiotics but was ultimately diagnosed as lymphoma upon biopsy. Despite conservative management, the patient's symptoms persisted, prompting surgical excision of the lymph node. Histopathological examination confirmed the lymphoma diagnosis, highlighting the importance of considering malignancy in cases of persistent lymphadenitis. This case underscores the significance of prompt evaluation, including biopsy, to ensure timely diagnosis and appropriate management in patients with recurrent cervical lymphadenitis.
复发性颈淋巴结炎是一种常见的临床表现，通常采用经验性抗生素治疗。然而，尽管进行了抗生素治疗，但持续性淋巴结病仍需考虑其他病因，包括恶性肿瘤。我们报告一例71岁女性复发性颈淋巴结炎病例，该患者最初对抗生素治疗有反应，但活检最终确诊为淋巴瘤。尽管采取了保守治疗，患者症状仍持续存在，促使对淋巴结进行手术切除。组织病理学检查证实了淋巴瘤的诊断，突出了在持续性淋巴结炎病例中考虑恶性肿瘤的重要性。该病例强调了及时评估（包括活检）的重要性，以确保对复发性颈淋巴结炎患者进行及时诊断和适当治疗。
