{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:22:37Z","timestamp":1762507357511},"reference-count":25,"publisher":"Royal College of Surgeons of England","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2018,5]]},"abstract":"Introduction<\/jats:title> Cervical tuberculous lymphadenitis is a low-volume condition in the UK with a potential for delayed diagnosis. This study describes typical demographic and clinical features of patients diagnosed with cervical tuberculous lymphadenitis in a UK population. The utility of cytological, histological and microbiological investigations is reviewed with comparison between fine-needle aspiration and open biopsy. This information can facilitate recognition of new cases and guide initial management. <\/jats:p><\/jats:sec>Methods<\/jats:title> Patients diagnosed with cervical tuberculous lymphadenitis between January 2009 and December 2013 at two district general hospitals were identified from local infectious disease databases. Retrospective case-note review was undertaken to collect demographic and diagnostic data and associated complications. <\/jats:p><\/jats:sec>Results<\/jats:title> Full data were available for 51 patients aged 19\u201370 years (mean 32.4 years) with mean follow-up of 370 days; 49\/51 patients were immigrants to the UK with a wide geographic spread in the countries of origin and time since arrival; 42\/51 had no significant comorbidities, although two patients had coexistent HIV infection. The clinical presentation was most frequently without constitutional symptoms (39\/51) and often with no history of tuberculosis contact. Posterior triangle neck nodes were most commonly involved (26\/51). <\/jats:p><\/jats:sec>Conclusion<\/jats:title> The \u2018typical\u2019 patient with cervical tuberculous lymphadenitis in our region is a young healthy individual who came to the UK from a high-risk country several years earlier. Diagnosis by fine-needle aspiration is as effective as open biopsy if fluid\/pus is aspirated. Open biopsy is potentially associated with complications but does not appear to increase chronic wound discharge rates in our series. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2018.0021","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T10:18:30Z","timestamp":1519726710000},"page":"392-396","source":"Crossref","is-referenced-by-count":9,"title":["Cervical tuberculous lymphadenitis: diagnosis and demographics, a five-year case series in the UK"],"prefix":"10.1308","volume":"100","author":[{"given":"D","family":"Moualed","sequence":"first","affiliation":[{"name":"Ear Nose and Throat Department, John Radcliffe Hospital, Headington, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Robinson","sequence":"additional","affiliation":[{"name":"Ear Nose and Throat Department, John Radcliffe Hospital, Headington, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Qureishi","sequence":"additional","affiliation":[{"name":"Ear Nose and Throat Department, John Radcliffe Hospital, Headington, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Gurr","sequence":"additional","affiliation":[{"name":"Ear Nose and Throat Department, Milton Keynes Hospital, Eaglestone, Milton Keynes, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"bib1","volume-title":"Global Tuberculosis Report 2017","author":"World Health Organization","year":"2017"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.118133"},{"key":"bib3","volume-title":"Tuberculosis in England 2016 report (presenting data to end of 2015). 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