경부 결핵성 임파선염의 임상적 고찰
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:
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).
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).
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).