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The objective of the study was to evaluate the causes of enlarged solitary lymph node
Material and Methods:
This study was conducted at Departments of ENT and Head and Neck Surgery
Postgraduate Medical Institutes, Peshawar from January 2005 to Dec, 2006. A total of 75 patients were
included. All the patients were evaluated through detailed history and clinical examinations. Beside these,
laboratory, radiological, endoscopic, Fine Needle Aspiration Cytology and histological studies were
A total of 75 patients with mean age of 35 years were studied during this period. Male to female
ratio was 1.2:1. Out of 75 patients, 29 (39%) were metastatic, 27 (36%) tuberculous, 16 (22%) had
lymphoma and 1 (1.5%) each of toxoplasmosis, infectious mononucleosis and sarcoidosis.
As malignancy was the commonest cause of solitary neck lymphadenopathy, so every patient
especially old age group should be properly investigated to exclude metastatic diseases.
than one month duration in the neck.
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