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Metastatic cervical lymphadenopathy masquerading as extrapulmonary tuberculosis

Introduction: Cervical lymphadenopathy can be due to various pathologies especially in the young. A high index of suspicion is required in the management of cervical lymphadenopathy to prevent misdiagnosis and wrong treatment. Case report: Here present the diagnostic challenge in the case of a youn...

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Published: 2012
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/9304
042 |a dc 
720 |a Adeyemo, A. A.  |e author 
260 |c 2012 
520 |a Introduction: Cervical lymphadenopathy can be due to various pathologies especially in the young. A high index of suspicion is required in the management of cervical lymphadenopathy to prevent misdiagnosis and wrong treatment. Case report: Here present the diagnostic challenge in the case of a young lady with nasopharyngeal carcinoma who initially presented solely with cervical lymphadenopathy. Previous fine needle aspiration cytology had suggested tuberculosis (TB) and she was commenced on anti-TB drugs. However failure of improvement and worsening symptoms led to another review in ENT clinic. A subsequent nasopharyngeal biopsy confirmed nasopharyngeal carcinoma. She subsequently improved after commencement of appropriate treatment. Conclusion: In regions with a high prevalence rate of tuberculosis, care must be taken to exclude malignancy in patients with cervical lymphadenopathy even when cytology suggests a granulomatous infection 
024 8 |a ui_art_adeyemo_metastatic_2012 
024 8 |a Bangladesh Journal of Otorhinolaryngol 18(2), 2012. Pp. 234 - 237 
024 8 |a http://ir.library.ui.edu.ng/handle/123456789/9304 
653 |a Naspharyngeal carcinoma 
653 |a Tuberculosis 
653 |a Cervical lymphadenopathy 
653 |a Metastatic 
245 0 0 |a Metastatic cervical lymphadenopathy masquerading as extrapulmonary tuberculosis