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Journal of Tropical Pediatrics 1984 30(6):307-309; doi:10.1093/tropej/30.6.307
© 1984 by Oxford University Press
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Pathology of Superficial Lymph Node in Children and Young Adults in Enugu, Nigeria

Dr. Gershon C. Ejeckam, MB, BS, MRCPath, FRCP(c), Senior Lecturer and Consultant Pathologist* and Dr. Emmanuel D. Nwabueze, MB, BCh, Resident**

*Department of Morbid Anatomy, University of Nigeria Teaching Hospital Enugu, Nigeria
**Department of Morbid Anatomy, University of Nigeria Teaching Hospital Enugu, Nigeria

Two hundred and twenty patients under the age of twenty years underwent lymph node biopsy at the University of Nigeria Teaching Hospital, Enugu in a period of 61/2 years from January 1973 to June 1979. Tuberculous lymphadenitis at 31.8 per cent was found to be the commonest cause of superficial lymphadenopathy.

Malignant lymphoma and nonspecific hyperplasia are second and third commonest respectively. Malignant lymphoma is rare under the age of 5 years and superficial lymphadenopathy in this age group is accounted for by mainly tuberculosis, reactive hyperplasia and chronic adenitis. Cervical lymph nodes are the commonest site of pathologic process amongst all the biopsied groups of superficial lymph nodes. Axillary and inguinal nodes are, however, not infrequently involved by disease process, especially tuberculosis. Knowledge of incidence, and distribution of disease processes involving particular group of superficial nodes in any particular age groups, is considered helpful and necessary in the management of patients with superficial lymphadenopathy.


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