Grossly matted lymph nodes
. Grossly adherent lymph nodes may represent true macroscopic ENE or several closely aggregated lymph nodes with thickened capsules, but without microscopic evidence of ENE (Figure 6).
In our study, failed aspiration was noted in cases of multiple, matted lymph nodes
. Some studies suggest surgical excision as only treatment option to avoid formation of discharging sinus,7 while others advocate needle aspiration for suppuration1,2 with or without instillation of isoniazid or rifampicin.10 But latest published guidelines of SPIDS suggest aspiration twice before surgical excision and excision primarily in cases of multiple, matted suppurative lymph nodes.9
It was observed that the ratio between patients with matted lymph nodes
and those with discrete lymph nodes was more or less equal.
Both USG and CT scan show number and extent of cervical lymph nodes, central caseation necrosis, matted lymph nodes
, IJV invasion, and IJV thrombus.
A recent travel to an endemic area or exposure to an infected patient with TB along with painless, gradually progressive, single or matted lymph nodes
can suggest mycobacterium TB involvement.
95.34% cases of reactive showed discrete lymph nodes whereas 60% of cases with tubercular lymphadenopathy had matted lymph nodes
In 61 (67.8%) cases, there were matted lymph nodes
, whereas 16 (17.8%) of the patients were having discrete lymph nodes.
A solitary enlarged lymph node is more likely to be malignant, while TB presents with matted lymph nodes
. Lymph nodes in the posterior cervical triangle and supraclavicular nodes are more suspicious for malignancy.
It consisted of multiple matted lymph nodes
, overlying skin was erythematous, there was no discharging sinus and swelling was not adherent to the bone.
Additionally, criteria for Z0011 as well as recommendations published by ASCO do not include histologic measurements of ECE, but rather gross extranodal extension (matted lymph nodes
) as exclusion criteria.
The presence of large matted lymph nodes
encasing the axillary vessels posed a further challenge to vascular reconstruction.
(9,10) In developing countries like India slowly growing pain less, firm and matted lymph nodes
have a high chance of being infective with a significant incidence of Mycobacterium Tuberculosis.