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Modern management of cervical scrofula
Author(s) -
Deitel Mervyn,
Bendago Mansour,
Krajden Sigmund,
Ronald Alfred C.,
Borowy Ze J.
Publication year - 1989
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.2880110111
Subject(s) - medicine , tuberculosis , sarcoidosis , chemotherapy , surgery , mycobacterium tuberculosis , radiology , pathology
Abstract From 1970 to 1984, 32 patients were treated for tuberculous (TB) masses, which measured 1.2–5.5 cm. The posterior triangle was involved in 19 patients, anterior triangle in 7, and more than one triangle in 6 (3 bilateral). A superficial node was excised for diagnosis. Acid‐fast bacilli were identified on the smear of 18 patients. Caseation necrosis was present in 27 specimens, sarcoidosis in four, nonspecific lymphadenitis in one; all cultures grew Mycobacterium tuberculosis. A chest x‐ray showed no active TB. Chemotherapy was given for 9–18 months (9 months when only one node was diseased and 18 months with extensive nodal involvement). Follow‐up examinations in all patients (> 3 years, mean 8.6 years) has revealed no recurrence. The need to excise all cervical TB nodes, chronically inflamed and often fused to important structures, was eliminated by adequate chemotherapy.