NECK

LYMPHADENOPATHY
Pembimbing
Dr. Linda Samosir Sp.THT-KL
Presentator
Aryo Handoko Sitorus

ASALNYA DARI MANA ?

Fungsi utama KGB, Filtrasi dari :

Mikroorganisme asing
Partikel-partikel akibat hasil
degradasi sel-sel atau
metabolisme

Infective:
Age < 10years / Umur < 10 thn
Painful lump jus below the angle of jaw /
Nyeri pada benjolan tepat di bawah rahang
Child may snore at night, Difficulty in
breathing, Recurrent chest infections / Anak
mungkin mendengkur di malam hari, sulit
bernapas, infeksi dada berulang
Systemic Effects: Feels ill sore throat pyrexia
and doesnt want to eat / Efek sistemik:
Sakit tenggorokan dan tidak mau makan
Malnourished child / Anak kurang gizi

Tuberculous
lymphadenitis:
Children, young and elderly / Anak-anak, usia muda dan usia
tua
Lump with gradual appearance, With or without pain / Benjolan
tampak berjenjang, Dengan atau tanpa rasa sakit
Neck movement and swallowing painful / Menggerakan leher
dan menelan terasa sakit
Anorexia and weight loss / Anoreksia dan penurunan berat
badan
If breaks down into abscess it increases in size, become painful,
discoloration of overlying skin / Jika menjadi abses ukuran
meningkat, Lebih nyeri, perubahan warna pada kulit di atasnya
BCG vaccination ? / vaksinasi BCG ?
Any Family member has TB / Anggota keluarga terkena TB
Poor socioeconomic status / Status social ekonomi miskin

Investigation
Laboratory investigations
Blood film exam
Diagnosis of glandular fever or leukemia
LFT & RFT: helpful in identify associated
underlying systemic disorders
Serological tests: HIV & syphilis
LN biopsy: Histological Diagnosis
(particularly in Hodg.and non-Hodg.
lymphoma)

Investigation
Radiological investigations
X-ray: TB shows typical spotty
calcification
Chest X-ray: shows enlarged mediastinal
nodes or primary occult tumor of the lung
U/S: helpful in evaluating the changes in
the lymph nodes
CT scan of chest & abdomen in case of
supraclavicular adenopathy, associated
with serious underlying disease

Management

Terapi berdasarkan
penyakit yang menjadi
penyebab

Thank You