Objectives: In this study, we evaluate tuberculosis (Tbc)
lymphadenitis diagnosed patients age, gender, contact history,
history of smoking, socioeconomic status, lymphadenitis
localization, imaging techniques, fine needle aspiration
biopsy (FNAB) and excisional biopsy results.
Patients and Methods: Between February 2006 and
February 2008 104 patients were operated to determine
the etiology of their neck masses. Twenty-six patients (16
females, 10 males; mean age 36.9 years; range 16 to 52
years) who were diagnosed as Tbc lymphadenitis according
to pathology results were included in the study. Ear, nose and
throat examinations were performed in all patients routinely.
Hemogram, biochemical and serological tests were performed.
The patients were evaluated with anterior-posterior
chest radiographs and purified protein derivative (PPD) by
chest diseases consultation imaging methods and FNAB was
performed. All patients diagnosed with excisional biopsy of
neck mass. During the operation, tissue culture and Ziehl-
Neelsen method for staining was prepared.
Results: Out of 26 patients eight had a history of contact with
Tbc. One person had previously lung Tbc. Six patients had
previously received treatment because of Tbc lymphadenitis,
but didnt complete the treatment. Neck ultrasonography
and neck computed tomography detected a solid mass in 16
patients and cystic mass in 10 patients. The 24 patients were
evaluated as positive PPD (>10 mm). None of the patients
had an association between active pulmonary Tbc and Tbc
Conclusion: Suspicion is the most important step in the
diagnosis of Tbc lymphadenitis. In patients with low socioeconomic
status, previous Tbc contact, tabacco usage,
suppressed immune system, and particularly in those with
drainage from neck masses, Tbc lymphadenitis should be
considered in the differential diagnosis.
FREE FULL TEXTAnahtar Kelimeler: Bilgisayarlı tomografi; mikobakteriyel servikallenfadenit; tüberküloz, lenf nodu/tanı/ilaç tedavisi/fizyopatoloji.