[Mycobacterial cervical lymphadenitis: role of surgery]. / Adénopathies cervicales tuberculeuses: place de la chirurgie.
Rev Laryngol Otol Rhinol (Bord)
; 126(2): 99-103, 2005.
Article
em Fr
| MEDLINE
| ID: mdl-16180349
ABSTRACT
OBJECTIVE:
To discuss the place of surgery in the management of mycobacterial cervical lymphadenitis. PATIENTS ANDMETHODS:
It's a retrospective study (1982-2002) about 246 patients treated in the ENT department of Farhat Hached Sousse for cervical lymph node tuberculosis. Resolution was considered when neither symptoms nor lymphadenopathy in examination were noted.RESULTS:
The mean age of our patients was 28 years. A light female prevalence was noted. In 5 patients diagnosis was established by lymph node punction. A medical treatment of first intention was then managed with a failure in 3 cases, after deadlines from 3 to 4 months. All other patients were operated cellulolymphadenectomy (47%), adenectomy (47%) or drainage of a cervical abscess (4%). Recurrence and antituberculosis treatment resistance were noted respectively in 6% and 3% of cases.DISCUSSION:
Two questions are still discussed in the management of mycobacterial cervical lymphadenitis 1- Is surgery necessary for the diagnosis? 2- When is surgery indicated directly? Histological specimen established the diagnosis in all cases and excluded a mestastatic lymph node. In some situations surgery must be indicated at first cold abscess, lymph node fistulation.CONCLUSION:
Surgery still has an important place in the treatment of tuberculosis lymphadenopathy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tuberculose dos Linfonodos
/
Mycobacterium tuberculosis
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Rev Laryngol Otol Rhinol (Bord)
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Tunísia