Cervical adenopathy remains a current problem in pediatrics. Although most of the cases have an infectious or benign etiology, it is important. Cette étude prospective menée du 1er Septembre au 31 Août chez 75 patients reçus pour adénopathies cervicales chroniques dans le service. Get this from a library! Les adénopathies cervicales néoplasiques.. [Y Cachin].

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The apparent acute evolution, the onset with high fever, dysphagia, pseudomembranous xdenopathies, the right laterocervical location, and the favourable response to the antibiotic treatment initially suggested an infectious etiology with intricate elements of streptococcal and infectious mononucleosis.

Currently, the adolescent is hospitalised in the ENT ward, where the pharynx carcinoma with nodal metastasis was confirmed. Physical evaluation in dental practice. The Solbiati index SI represents the ratio of the largest to the smallest diameter. The final diagnosis was nodal metastasis of an undifferentiated lymphoepithelial carcinoma dervicales an ENT starting point.

Cervical lymphadenopathy refers to lymphadenopathy of the cervical lymph nodes the glands in the neck. In such cases, this discovery leads to a search for the primary malignancy, firstly in the nearby area with endoscopy, “blind” biopsies, and tonsillectomy on aeenopathies side of the lymphadenopathy.


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Initially the adenopathy was considered to be secondary to a coinfection with Streptococcus B-hemolytic and Epstein-Barr virus, as suggested by adenopathirs positive bacteriological and serological tests.

Hence, the patient was given penicillin for 10 days. This includes 7 criteria: As a result, being able to distinguish between benign and malign adenopathies is of great interest to the clinician.

Case Reports in Pediatrics

Cervical lymphadenopathy can be thought of as local where only the cervical lymph nodes are affected, or general where all the lymph nodes of the body are affected. Rapid elucidation of the etiology allows a treatment with optimum effect.

The histopathologic examination confirmed the malignity of the adenopathy. Oral and maxillofacial surgery. This led to an obvious improvement of the symptoms as follows: To receive news and publication updates for Case Reports in Pediatrics, enter your email address in the box below.

Cervical lymphadenopathy

Although most of the cases have an infectious or benign etiology, it is important for the doctor to be vigilant and to exclude the rare cases or the neoplastic diseases, for a prompt diagnosis and optimum therapeutic decision.

If no tumor is found, cerviales the rest of the body is examined, looking for lung cancer or other possible sites. In addition, it must be used to remove the erroneous interpretations resulting from these techniques.


Due to all these elements Table 1 a lymph node biopsy was required. Retrieved from ” https: The causes are varied, and may cervicals inflammatory, degenerative, or neoplastic.

Distinguishing between benign and malign adenopathies remains a challenge and could represent a source of error in a diagnosis. Clinical problem solving in dentistry 3rd ed. The previous history of the adenopathy that appeared 6 months before the infectious episode with uneven evolution and malignancy characteristics required a lymph node biopsy, as highlighted by the lymph node ultrasound.

Subscribe to Table of Contents Alerts. The ultrasound performed, gray scale mode B of the cervical mass. No evidence of metastasis in other areas was found. No hepatosplenomegaly was detected and no associated adenopathies were recorded.

Cervical lymphadenopathy – Wikipedia

If still no primary tumor is detected, the term “occult primary” is used. Therefore, infectious mononucleosis was suspected. Abstract Distinguishing between benign and malign adenopathies remains a challenge and could represent a source of error in a diagnosis.

Case Report FLE year-old male from an urban environment is admitted to hospital in September for fever, unwellness, and dysphagia.