Selime AYDOĞDU, Tuğçe GÖKSU YILMAZ, Deniz TUĞCU

Lenfadenopatiye Yaklaşım: Vaka Sunumu ve Literatürün Gözden Geçirilmesi

Lenf bezleri vücut savunma mekanizmasının ana öğesi olan lenfoid sistemin bir elemanı olup, sağlıklı bireylerde vücu- da giren yabancı maddelere karşı savunmada önemli rol oynar. Vücudun muhtelif yerlerinde bulunurlar ve genellik- le zincirler hâlindedirler. Herhangi bir antijenik uyarı lenf bezlerinde aktivasyon ve büyümeye neden olur. Lenf bezle- rinin anormal boyutlarda büyümesi lenfadenopati olarak adlandırılır. Birçok nedene bağlı olarak gelişebilen lenfa- denopatilerin değerlendirilmesinde belli özelliklere dikkat edilerek patolojik büyümelerin ayırdedilmesi, erken tanı ve tedaviye erken başlanması açısından önem taşır. Bu maka- lede, vaka sunumu ile birlikte lenfadenopatiye yaklaşım gözden geçirilmiştir

Anahtar Kelimeler:

Lenfadenopati, çocuk

Approach to Lympadenopathy: Case Report and Literature Review

Lymph nodes are the members of the lymphoid system, which are the main elements of the body’s defense mecha- nisms and they play an important role in defense against foreign substances entering the body in healthy individuals. They are found in various places in the body and are usu- ally in chains. Any antigenic stimulation can cause activa- tion and growth in lymph nodes. Abnormal enlargement of lymph nodes is called lymphadenopathy. The evaluation of lymphadenopathy that can be due to various reasons is important to discriminate between pathological growths, to establish early diagnosis and early treatment. In this artic- le we revised the approach to lymphadenopathy with a case presentation

Keywords:

Lympadenopathy, child,

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Perkins SL, Segal GH, kjeldsberg cr. Work-up of lymphadenopathy in children. Semin Diagn Pathol 1995;12:284-7.
Twist cJ, Link mP. Assessment of lymphadenopathy in children. Pediatr Clin North Am 2002;49:1009-25.
https://doi.org/10.1016/S0031-3955(02)00038-X
Nield LS, kamat d. Lymphadenopathy in children: when and how to evaluate. Clin Pediatr (Phila) 2004;43:25-33.
https://doi.org/10.1177/000992280404300104
Germaine Lm, Newhouse JH. Castleman’s disease. Clin Imaging 2003;27:431-4.
Leung Ak, robson WL. Childhood cervical lympha- denopathy. J Pediatr Health Care 2004;18:3-7.
https://doi.org/10.1016/S0891-5245(03)00212-8
Lake Am, oski FA. Peripheral lymphadenopathy in childhood. Ten-year experience with excisional biopsy. Am J Dis Child 1978;132:357-9.
https://doi.org/10.1001/archpedi.1978.02120290029003
Screaton NJ, Berman LH, Grant JW. Head and neck lymphadenopathy: evaluation with US-guided cutting- needle biopsy. Radiology 2002;224:75-81.
https://doi.org/10.1148/radiol.2241010602
du Toit G, Swingler G, ıloni k. Observer variation in detecting lymphadenopathy on chest radiography. Int J Tuberc Lung Dis 2002;6:814-7.
Gupta rk, Naran S, Lallu S, Fauck r. Diagnostic value of needle aspiration cytology (NAC) in the assessment of palpable inguinal lymph nodes: a study of 210 cases. Diagn Cytopathol 2003;28:175-80.
https://doi.org/10.1002/dc.10244
oksuz rYc, dağdemir A, Acar S, Elli m, oksuz m. Çocukluk çağı periferik lenfadenopatili vakaların ret- rospektif değerlendirilmesi. OMU Tıp Dergisi 2008;25: 94-101.
Brady z, Taylor mL, Haynes m, et al. The clinical application of PET/CT: a contemporary review. Australas Phys Eng Sci Med 2008;31:90-109.
https://doi.org/10.1007/BF03178584