Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

경부 결핵성 임파선염의 임상적 고찰

김영민1, 송병찬1, 윤성철1, 박영민1
Young Min Kim1, Byung Chan Song1, Seong Cheol Yoon1, Young Min Park1
1한림대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Hallym University

© Copyright 1993 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Tuberculous cervical lymphadenitis is one of the most common causes of neck mass in Korea. But the diagnostic confirmation is difficult and it’s effective treatment modalities are still in controversy.

Through a retrospective study of 32 cases of tuberculous cervical lymphadenitis treated with surgery during recent 4 years, we have analyzed 4 subtypes of CT findings and surgical treatment modalities and recieved following results:

  1. The locations of lymphadenitis were posterior triangle(12 cases), submandibular area(9 cases), supraclavicular area(8 cases), submental area(2 cases), parotid area(1 case).

  2. Four subtypes of CT findings were observed : Homogeneous enhancement type(3 cases), peripheral rim enhancement type(13 cases), peripheral rim enhancement with perinodal fat obliteration type(10 cases), coalescent cold abscess type(6 cases).

  3. Surgical treatment modalities : Excision(14 cases), incision and drainage(4 cases), selective neck dissection(9 cases), functional neck dissection(2 cases), parotidectomy(1 case) and curettage(2 cases).

Keywords: Tuberculous Cervical Lymphadenitis; CT; Surgical Treatment