<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>BACKGROUND.</bold> Lymph node tuberculosis is a pathology with an increasing incidence and prevalence in middle income countries.<bold>MATERIAL AND METHODS.</bold> We present a series of 4 cases with cervical lymph node tuberculosis. We review current principles of diagnosis and treatment from the perspective of the ENT surgeon in a tertiary university clinic.<bold>RESULTS.</bold> In each case we underline diagnosis difficulties and treatment options. These cases presented management difficulties due to associated morbidities. All cases underwent surgical excision of the afflicted lymph nodes with subsequent microscopic confirmation of tuberculosis. We illustrate key concepts leading to the microscopy diagnosis of lymph node tuberculosis.<bold>CONCLUSION.</bold> There are various surgical incidents and accidents that the young surgeon must be aware of when approaching neck tuberculous lymph nodes. Further referral of the patient for long-term tuberculosis treatment is mandatory. All patients were supervised for a minimum of 1 year after the initial diagnosis and treatment with no sign of recurrence. A close cooperation between the ENT surgeon, the infectious disease specialist and the pathologist is the key to an optimum approach to lymph node tuberculosis at the head and neck level.</abstract>

BACKGROUND. Lymph node tuberculosis is a pathology with an increasing incidence and prevalence in middle income countries.MATERIAL AND METHODS. We present a series of 4 cases with cervical lymph node tuberculosis. We review current principles of diagnosis and treatment from the perspective of the ENT surgeon in a tertiary university clinic.RESULTS. In each case we underline diagnosis difficulties and treatment options. These cases presented management difficulties due to associated morbidities. All cases underwent surgical excision of the afflicted lymph nodes with subsequent microscopic confirmation of tuberculosis. We illustrate key concepts leading to the microscopy diagnosis of lymph node tuberculosis.CONCLUSION. There are various surgical incidents and accidents that the young surgeon must be aware of when approaching neck tuberculous lymph nodes. Further referral of the patient for long-term tuberculosis treatment is mandatory. All patients were supervised for a minimum of 1 year after the initial diagnosis and treatment with no sign of recurrence. A close cooperation between the ENT surgeon, the infectious disease specialist and the pathologist is the key to an optimum approach to lymph node tuberculosis at the head and neck level.

Lymph node tuberculosis – The ENT surgeon approach in four cases

“Carol Davila” University of Medicine and Pharmacy

Romanian Journal of Rhinology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Lymph node tuberculosis \u2013 The ENT surgeon approach in four cases"}

BACKGROUND. Lymph node tuberculosis is a pathology with an increasing incidence and prevalence in middle income countries.MATERIAL AND METHODS. We present a...

Lymph node tuberculosis – The ENT surgeon approach in four cases

Published Online: Nov 02, 2018

Page range: 241 - 245

Received: Aug 28, 2018

Accepted: Sep 20, 2018

DOI: https://doi.org/10.2478/rjr-2018-0028

Keywords
neuroendocrine carcinoma, nasopharyngeal carcinoma, second primary malignancy, small cell carcinoma

© 2018 Daniela Vrinceanu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Lymph node tuberculosis – The ENT surgeon approach in four cases

Published Online: Nov 02, 2018

Page range: 241 - 245

Received: Aug 28, 2018

Accepted: Sep 20, 2018

DOI: https://doi.org/10.2478/rjr-2018-0028

Keywordsneuroendocrine carcinoma, nasopharyngeal carcinoma, second primary malignancy, small cell carcinoma

© 2018 Daniela Vrinceanu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
neuroendocrine carcinoma, nasopharyngeal carcinoma, second primary malignancy, small cell carcinoma