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[Radical neck dissection in treating cervical lymph node tuberculosis].

OBJECTIVE: To evaluate the significance of radical neck dissection in treatment of mixed-type cervical lymph node tuberculosis. METHOD: One hundred twenty-two cases with mixed-type cervical lymph node tuberculosis were treated with radical neck dissection and the results of the treatment were reported. The size, number, location and pathologic types of abscess, fistula and lymph node were also analyzed. RESULT: All the patients were cured without relapse during 1-7 year follow-up. Spreading antegrade infection and chronic recurrence were found to be the characteristics of mixed-type cervical lymph node tuberculosis. CONCLUSION: Radical neck dissection is an effective and safe approach for treating the disease.

Adolescent↗

[Lymph node tuberculosis in France in non-immunosuppressed adults: current pathology].

PURPOSE: Lymph node tuberculosis is more frequent in Africa or in HIV-infected patients. METHODS: We review results that were obtained in 18 patients with lymph node tuberculosis but without infection by HIV. Eight French native patients (mean age: 69 years) and ten African patients (mean age: 32.5 years) were included into the study. RESULTS: Of the 18 patients, 14 had exclusively hematopoietic localizations, two with medullar involvement and two with either liver or spleen involvement. Normal erythrocyte sedimentation rate was found in two out of 18 cases and normal C-reactive protein levels in seven out of 17 cases. Lymph node biopsy revealed lesions typically associated with tuberculosis in 12 out of 14 patients, two of them had no necrosis. Inflammatory syndrome was inconstant, tuberculin test sometimes negative. A favorable outcome was seen in all cases after 6, 12 or 18 months of treatment, depending on clinical appreciation. CONCLUSION: Tuberculous lymphadenopathy in non-HIV-infected patients may occur without inflammatory syndrome, with sometimes negative tuberculin test and without lymph node necrosis.

Adult↗