Cervical Lymphadenopathy

Question 1

What are the locations of the cervical lymph nodes? (6–9)

Answer 1

Parotid
Submental
Submandibular 
superficial cervical 
Deep cervical
Supraclavicular
Occipital
Pre-auricular 
Post-auricular

Question 2

What are the three main causes of lymphadenopathy?

Answer 2

Reactive swellings
Neoplastic swellings
Other

Question 3

What are the 4 types of Reactive (infective) swellings and an example of each?

Answer 3

Acutely unilateral- Strep A
Acutely bilateral- EBV
Chronic unilateral- TB
Chronic bilateral- Syphilus

Question 4

What are the 2 types of Neoplastic swellings and an example of each?

Answer 4

Primary- Lymphoma

Secondary (metastatic spread)- SSC from the tongue

Question 5

Gives three examples of other causes of lymphadenopathy

Answer 5

CT diseases e.g. sarcoidosis
Drugs
Vaccines
Unknown

Question 6

Describe the Pathway of Assessment of Lymphadenopathy

Answer 6

History taking
Examination
Special investigation
Diagnosis
Staging
Treatment