Ali AYÇİÇEK, Bahattin ERDOĞAN

Lenfadenomegalisi Olan 223 Çocuk Hastanın Prospektif Değerlendirilmesi

Amaç: Lenfadenomegali çocuklarda sık karşılaşılan bir bulgudur, çocuğun ailesi ve izleyen hekim için bazen zaman sıkıntılı bir sürece neden olur. Lenfadenomegalisi olan çocukların klinik ve laboratuvar bulgularını ileriye dönük olarak değerlendirilmesi amaçlandı.Gereç ve Yöntemler: 1 Eylül 2013-31 Ağustos 2014 tarihleri arasında Eskişehir Devlet Hastanesi Çocuk Hematolojisi ve Onkolojisi Polikliniğine lenfadenomegali nedeni ile yönlendirilen yaşları 0.3-17.5 yıl arasında 223 çocuk hasta dahil edildi.Bulgular: Olguların 64’ünde (%36) 4 haftadan daha uzun süredir büyümüş lenf nodları mevcuttu, bunlardan 17’sinde (%8) 3 cm’den daha büyüktü, 9 (%4) olguda eksiyonel biyopsi yapıldı, 6 (%2.7) hastada maliyn nedenler saptandı. Maliyn hastalık tanısı alan olgularda yaş ortalaması 13.3 ± 3.3 yıl (değer aralığı 8.7-17 yıl) ve ortalama lenfadenomegali çapı 3.1 ± 1 cm, bu değerler beniyn grupta 6.6 ± 4.2 yıl ( değer aralığı 0.3-17.5 yıl) ve 1.6 ± 0.9 cm olarak saptandı. Beniyn durum arz eden 208 hasta ortalama 2 ± 3 ay (1-12 ay) takip edildi, bunların içinde maliynite saptanan olmadı.Sonuç: Çocukluk çağı lenf nodu büyümelerinde tanı yönünden asıl olan yaklaşım tarzı klinik ve muayene bulgularıdır.

Anahtar Kelimeler:

Çocuk, Lenf nodları, Neoplaziler

Prospective Evaluation of 223 Children with Lymphadenomegaly

Objective: A palpable lymph node in the physical examination may pose a distressing situation for both the parents and the physician who is following the child. We aimed to prospectively document the value of clinical and laboratory findings in children with lymphadenomegaly.Material and Methods: Two hundred twenty-three children aged 0.3 to 17.5 years with lymphadenomegaly diagnosed during general physical examinations and referred to Eskisehir State Hospital Pediatric Hematology/Oncology outpatient clinic for the first time between 1 September 2013 and 31 August 2014 were included in the study.Results: Seventy-one patients (32%) were female. Benign causes were detected in 217 (97.3%) cases and malignant causes were detected in 6 (2.7%) cases of total 223 cases. The average age of the patients that were diagnosed with malignant disease was 13.3 ± 3.3 years (range 8.7-17 years) and the mean lymphadenomegaly diameter was 3.1 ± 1 cm. The average age of the cases diagnosed with benign disease was 6.6 ± 4.2 years and the mean lymphadenomegaly diameter was 1.6 ± 0.9 cm. The median follow-up for 208 of 223 evaluable patients was 2 months (range, 1 to 12 months) in patients with a benign clinical picture and no patient had a malignant tumor. conclusion: Primary diagnostic evaluation is based mainly on clinical and physical examinations in children with lymph node enlargement

Keywords:

Child, Lymph nodes, Neoplasms,

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