Metastatic cervical lymphadenopathy masquerading as extrapulmonary tuberculosis

Authors

  • Adebolajo A Adeyemo Institute of Child Health, University of Ibadan

DOI:

https://doi.org/10.3329/bjo.v18i2.12030

Keywords:

Naspharyngeal carcinoma, tuberculosis, cervical lymphadenopathy, metastatic

Abstract

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.

DOI: http://dx.doi.org/10.3329/bjo.v18i2.12030

Bangladesh J Otorhinolaryngol 2012; 18(2): 234-237

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Published

2012-11-24

How to Cite

Adeyemo, A. A. (2012). Metastatic cervical lymphadenopathy masquerading as extrapulmonary tuberculosis. Bangladesh Journal of Otorhinolaryngology, 18(2), 234–237. https://doi.org/10.3329/bjo.v18i2.12030

Issue

Section

Case Reports