Cervical lymphadenopathy
Definition
Cervical lymph nodal tissue measuring more than 1 cm in diameter
Aetiology
DDx
Investigations
Management
Treat the cause
Source
Medscape
Cervical lymph nodal tissue measuring more than 1 cm in diameter
Aetiology
- Reactive hyperplasia from infection (most common)
- Viral URTI (most common)
- Bacteria URTI (GAS, Staph, cat scratch disease)
- Parasites (Toxoplasmosis)
- Autoimmune (Kawasaki, JRA, SLE)
- Malignancy
- <6y (neuroblastoma, leukaemia)
- >6y (HL, NHL, rhabdosarcoma)
DDx
- Mumps
- Thyroglossal Cyst
- Branchial Cleft Cyst
- Sternomastoid Tumor
- Cervical Ribs
- Cystic Hygroma.
- Hemangioma.
- Laryngocele
- Dermoid Cyst
Investigations
- Bedside
- Strep antigen test (GAS)
- Throat swab
- ECG (Kawasaki)
- Bloods:
- FBC (Bacteria - left shift, pancytopaenia - leukemia)
- ESR (Bacteria lymphadenitis)
- Serology (CMV, EBV, cat scratch disease, toxoplasmosis)
- Imaging
- U/S (?cyst - solid/ fluid)
- CT (determine spread)
- Others
- FNA (cytology)
- Biopsy (malignancy)
Management
Treat the cause
Source
Medscape