The author reports a clinical study of 132 cases of tuberculous cervical lymphadenitis with brief review of literature from Jan. 1970 to Aug. 1974 at the Kyung Pock National University hospital. Following results were obtained:
1) In the series, the age of the highest incidence was 21-30 years old (37.1%sand females predominated over males by 2: 1:-
2) Frequency of the location was as follows: 69.7% (92 cases) of the cases was unilateral, 24.2
(32 cases) bilateral, 6.1%(8 cases) central, 66,7% (88 cases)upper cervical and 33.3% (44 cases) lower cervical. Of 92 cases in which were unilateral, 56.5% (52 cases) was right side and 43.5% (44 cases) left side.
3) The local findings were painless lymphadenopathy in 56.8% (75 cases) of the cases, painful lymphadenopathy in 15.2% (20 cases) and systemic symptoms including fever, chill and general malaise in 25. 1% (33 cases).
4) Multiple masses were 79.0% (104 cases) and solitary in 21. 0% (28 cases).
5) Of cases in which chest X-ray was checked, 50% (35 cases) was positive finding.
6) All cases of tuberculous lymphadenitis were recieved chemotherapy including INH, PAS, Streptomycin and other antituberculous agents I & D or fistulectomy was done in of patients with impending abscess formation or rupture and. radical lymphadenectomy was done in 25.8% (34 cases) of patients with solid masses. The other group of the cases (62. 1%, 82 cases) was elected for the chemotherapy only.
7) The rate of recurrence was 43.9%(36 cases) in medical treatment alone, 18.8%C3 cases) in I & D or fistulectomy, 8.8%(3 cases) in radical lymphadenectomy The excellent therapy was radical lymphadenectomy combined with chemotherapy.
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