| Peer-Reviewed

Histopathologic Patterns of Lymph Node Diseases Among Patients Diagnosed in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia

Received: 20 June 2022    Accepted: 1 August 2022    Published: 9 August 2022
Views:       Downloads:
Abstract

Lymphadenopathy is one of the most typical clinical presentations in patients of all age groups. The causes are different based on age, sex, duration, and patterns of involvement. There is a lack of evidence on histopathologic patterns of lymph node diseases. This study aims to determine the histopathologic pattern of lymph node diseases diagnosed in Hawassa university's comprehensive specialized hospital. An institution-based cross-sectional study was conducted among 188 histopathologically diagnosed lymph node biopsies received from September 2014 to August 2020 at Hawassa university's comprehensive specialized hospital (HUCSH). All the samples collected for the diagnoses at a given period were included in the study. The collected data was cleaned and entered into open Epi- version 3 and exported to SPSS version 20 statistical software for analysis. Descriptive analyses like frequency distribution, proportion and dispersion were calculated. The finding was presented using frequency tables, graphs, and charts. Both univariate and multivariate analyses were done. The Adjusted Odd Ratio (AOR with 95% CI) was used to show the strength of the association, and a P-value of ≤ 0.05 was considered statistically significant. Of the 188 lymph node biopsies, 119 (63.3%) were male cases, and 69 (36.7%) were female cases. The age range of the study subjects is 1 to 84 years, with a mean of 31.28±18. 64 years. Localized lymphadenopathy (LAP) was found in 168 (89.4%) of the patients, and the remaining 20 (10.6%) were generalized. Among localized LN groups, cervical, mesenteric, and inguinal LN groups are the most commonly biopsied groups accounting for 66 (35.1%), 55 (29.3%) and 14 (7.4%), respectively. Regarding the size, 72.2% of benign reactive conditions were less than 2cm, whereas 74.5% of lymphomas have a size of at least 2cm. 86.9% of nonspecific reactive conditions have a duration of less than one month, whereas 89% of malignant conditions collectively presented with LAP of more than 1-month duration. A third of 61 (32.4%) were identified as histopathologically reactive nonspecific conditions and lymphomas consist 44 (23.4%) and metastatic lesions (40, 21.3%) and tuberculosis lymphadenitis (36, 19.1%). This study's histopathologic pattern of Lymph Node (LN) disease was comparable with other developing countries. Reactive nonspecific conditions and tuberculous lymphadenitis are more common before the age of 45 years. Metastatic lesions were found more common after the age of 45 years.

Published in American Journal of Laboratory Medicine (Volume 7, Issue 3)
DOI 10.11648/j.ajlm.20220703.12
Page(s) 43-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Reactive Nonspecific Conditions, Localized LAP, Histopathologic Pattern

References
[1] Ferrer R. Lymphadenopathy: differential diagnosis and evaluation. Am Fam Physician 1998; 58: 1313.
[2] Herzog LW. Prevalence of lymphadenopathy of the head and neck in infants and children. Clin Pediatr (Phila) 1983; 22: 485.
[3] Knight PJ, Mulne AF, Vassy LE. When is lymph node biopsy indicated in children with enlarged peripheral nodes? Pediatrics 1982; 69: 391.
[4] Roy A, Kar R, Basu D, Badhe BA. Spectrum of histopathologic diagnosis of lymph node biopsies: A descriptive study from a tertiary care center in South India over 5½ years. Indian J Pathol Microbiol 2013; 56: 103-8.
[5] Datta PG, Hossain MD, Amin SA, et al. Tubercular lymphadenitis - diagnostic evaluation. Mymensingh Med J 2011; 20: 233.
[6] Fijten GH, Blijham GH. Unexplained lymphadenopathy in family practice. An evaluation of the probability of malignant causes and the effectiveness of physicians' workup. J Fam Pract 1988; 27: 373.
[7] Chau I, Kelleher MT, Cunningham D, et al. Rapid access multidisciplinary lymph node diagnostic clinic: analysis of 550 patients. Br J Cancer 2003; 88: 354.
[8] Morgenstern L. The Virchow-Troisier node: a historical note. Am J Surg 1979; 138: 703.
[9] Copeland EM, McBride CM. Axillary metastases from unknown primary sites. Ann Surg 1973; 178: 25.
[10] Shipchandler TZ, Lorenz RR, McMahon J, Tubbs R. Supraclavicular lymphadenopathy due to silicone breast implants. Arch Otolaryngol Head Neck Surg 2007; 133: 830.
[11] de Andrade JM, Marana HR, Sarmento Filho JM, et al. Differential diagnosis of axillary masses. Tumori 1996; 82: 596.
[12] Zaren HA, Copeland EM 3rd. Inguinal node metastases. Cancer 1978; 41: 919.
[13] Mascaró JM Jr. Cutaneous signs of hematologic malignancies: "Doctor, is there something wrong with my blood?". Arch Dermatol 2011; 147: 342.
[14] Lai KK, Stottmeier KD, Sherman IH, McCabe WR. Mycobacterial cervical lymphadenopathy. Relation of etiologic agents to age. JAMA 1984; 251: 1286.
[15] Ochicha O, Edino S T, Mohammed A Z, Umar A B, Atanda A T. Pathology of peripheral lymph node biopsies in Kano, Northern Nigeria. Ann Afr Med 2007; 6: 104-8.
[16] C C Anunobi, A A F Banjo, F B Abdulkareem, A O Daramola, E K Abudu, Review of the Histopathologic Patterns of Superficial Lymph Node Diseases, in Lagos (1991-2004). PMID.
[17] Ojo BA, Buhari MO, Malami SA, Abdulrahaman MB. Surgical lymph node biopsies in University of Ilorin Teaching Hospital, Ilorin, Nigeria. Niger Postgrad Med J. 2005 Dec; 12 (4): 299-304. PMID: 16380743.
[18] Özkan EA, Göret CC, Özdemir ZT, Yanık S, Göret NE, Doğan M, et al. Evaluation of peripheral lymphadenopathy with excisional biopsy: Six‑year experience. Int J Clin Exp Pathol 2015; 8: 15234-9.
[19] Thomas JO, Ladipo JK, Yawe T. Histopathology of lymphadenopathy in a tropical country. East Afr Med J 1995; 72: 703-5. [PUBMED].
[20] M Tiwari, G Aryal, R Shrestha, S K Rauniyar, H G Shrestha: Histopathologic Diagnosis of Lymph Node Biopsies. Ann Afr Med 2006; 4: 92-101.
[21] Olu‑Eddo AN, Ohanaka CE. Peripheral lymphadenopathy in Nigerian adults. J Pak Med Assoc 2006; 56: 405-8.
[22] A Getachew, M Demissie, T Gemechu, Pattern of Histopathologic Diagnosis of Lymph Node Biopsies in a Teaching Hospital in Addis Ababa, 1981-1990 G. C. PMID.
[23] Alkumasi HA, Al Ghadhban MR, Mohammed FT. Common sites and causes of chronic cervical lymphadenopathy among a sample of Iraqi patients. Int Surg J 2018; 5: 892-6.
[24] Hussain MI, Bukhari MH, Aftab MZ. Lymph node biopsies: Evaluation of disease pattern and role of surgery – Our experience from South Punjab, Pakistan. Acta Med Int 2019; 6: 7-10.
[25] Freidig EE, McClure SP, Wilson WR, Banks PM, Washington JA Clinical-histologic-microbiologic analysis of 419 lymph node biopsy specimens. Rev Infect Dis 1986; 8: 322-8.
[26] Mohan A, Reddy MK, Phaneendra BV, Chandra A. Aetiology of peripheral lymphadenopathy in adults: analysis of 1724 cases seen at a tertiary care teaching hospital in southern India. Natl Med J India 2007; 20: 78.
[27] Sriwatanawongsa V, Cardoso R, Chang P. Incidence of malignancy in peripheral lymph node biopsy. Am Surg. 1985 Oct; 51 (10): 587-90. PMID: 4051335.
Cite This Article
  • APA Style

    Tesfalem Israel Korga, Abebe Melis Nisiro, Berhanu Lijalem Yigez, Selamawit Abebe Ayele, Deginesh Dawit Woltamo, et al. (2022). Histopathologic Patterns of Lymph Node Diseases Among Patients Diagnosed in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. American Journal of Laboratory Medicine, 7(3), 43-48. https://doi.org/10.11648/j.ajlm.20220703.12

    Copy | Download

    ACS Style

    Tesfalem Israel Korga; Abebe Melis Nisiro; Berhanu Lijalem Yigez; Selamawit Abebe Ayele; Deginesh Dawit Woltamo, et al. Histopathologic Patterns of Lymph Node Diseases Among Patients Diagnosed in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. Am. J. Lab. Med. 2022, 7(3), 43-48. doi: 10.11648/j.ajlm.20220703.12

    Copy | Download

    AMA Style

    Tesfalem Israel Korga, Abebe Melis Nisiro, Berhanu Lijalem Yigez, Selamawit Abebe Ayele, Deginesh Dawit Woltamo, et al. Histopathologic Patterns of Lymph Node Diseases Among Patients Diagnosed in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. Am J Lab Med. 2022;7(3):43-48. doi: 10.11648/j.ajlm.20220703.12

    Copy | Download

  • @article{10.11648/j.ajlm.20220703.12,
      author = {Tesfalem Israel Korga and Abebe Melis Nisiro and Berhanu Lijalem Yigez and Selamawit Abebe Ayele and Deginesh Dawit Woltamo and Yohannes Zewde and Abebe Sorsa Badacho},
      title = {Histopathologic Patterns of Lymph Node Diseases Among Patients Diagnosed in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia},
      journal = {American Journal of Laboratory Medicine},
      volume = {7},
      number = {3},
      pages = {43-48},
      doi = {10.11648/j.ajlm.20220703.12},
      url = {https://doi.org/10.11648/j.ajlm.20220703.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajlm.20220703.12},
      abstract = {Lymphadenopathy is one of the most typical clinical presentations in patients of all age groups. The causes are different based on age, sex, duration, and patterns of involvement. There is a lack of evidence on histopathologic patterns of lymph node diseases. This study aims to determine the histopathologic pattern of lymph node diseases diagnosed in Hawassa university's comprehensive specialized hospital. An institution-based cross-sectional study was conducted among 188 histopathologically diagnosed lymph node biopsies received from September 2014 to August 2020 at Hawassa university's comprehensive specialized hospital (HUCSH). All the samples collected for the diagnoses at a given period were included in the study. The collected data was cleaned and entered into open Epi- version 3 and exported to SPSS version 20 statistical software for analysis. Descriptive analyses like frequency distribution, proportion and dispersion were calculated. The finding was presented using frequency tables, graphs, and charts. Both univariate and multivariate analyses were done. The Adjusted Odd Ratio (AOR with 95% CI) was used to show the strength of the association, and a P-value of ≤ 0.05 was considered statistically significant. Of the 188 lymph node biopsies, 119 (63.3%) were male cases, and 69 (36.7%) were female cases. The age range of the study subjects is 1 to 84 years, with a mean of 31.28±18. 64 years. Localized lymphadenopathy (LAP) was found in 168 (89.4%) of the patients, and the remaining 20 (10.6%) were generalized. Among localized LN groups, cervical, mesenteric, and inguinal LN groups are the most commonly biopsied groups accounting for 66 (35.1%), 55 (29.3%) and 14 (7.4%), respectively. Regarding the size, 72.2% of benign reactive conditions were less than 2cm, whereas 74.5% of lymphomas have a size of at least 2cm. 86.9% of nonspecific reactive conditions have a duration of less than one month, whereas 89% of malignant conditions collectively presented with LAP of more than 1-month duration. A third of 61 (32.4%) were identified as histopathologically reactive nonspecific conditions and lymphomas consist 44 (23.4%) and metastatic lesions (40, 21.3%) and tuberculosis lymphadenitis (36, 19.1%). This study's histopathologic pattern of Lymph Node (LN) disease was comparable with other developing countries. Reactive nonspecific conditions and tuberculous lymphadenitis are more common before the age of 45 years. Metastatic lesions were found more common after the age of 45 years.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Histopathologic Patterns of Lymph Node Diseases Among Patients Diagnosed in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
    AU  - Tesfalem Israel Korga
    AU  - Abebe Melis Nisiro
    AU  - Berhanu Lijalem Yigez
    AU  - Selamawit Abebe Ayele
    AU  - Deginesh Dawit Woltamo
    AU  - Yohannes Zewde
    AU  - Abebe Sorsa Badacho
    Y1  - 2022/08/09
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajlm.20220703.12
    DO  - 10.11648/j.ajlm.20220703.12
    T2  - American Journal of Laboratory Medicine
    JF  - American Journal of Laboratory Medicine
    JO  - American Journal of Laboratory Medicine
    SP  - 43
    EP  - 48
    PB  - Science Publishing Group
    SN  - 2575-386X
    UR  - https://doi.org/10.11648/j.ajlm.20220703.12
    AB  - Lymphadenopathy is one of the most typical clinical presentations in patients of all age groups. The causes are different based on age, sex, duration, and patterns of involvement. There is a lack of evidence on histopathologic patterns of lymph node diseases. This study aims to determine the histopathologic pattern of lymph node diseases diagnosed in Hawassa university's comprehensive specialized hospital. An institution-based cross-sectional study was conducted among 188 histopathologically diagnosed lymph node biopsies received from September 2014 to August 2020 at Hawassa university's comprehensive specialized hospital (HUCSH). All the samples collected for the diagnoses at a given period were included in the study. The collected data was cleaned and entered into open Epi- version 3 and exported to SPSS version 20 statistical software for analysis. Descriptive analyses like frequency distribution, proportion and dispersion were calculated. The finding was presented using frequency tables, graphs, and charts. Both univariate and multivariate analyses were done. The Adjusted Odd Ratio (AOR with 95% CI) was used to show the strength of the association, and a P-value of ≤ 0.05 was considered statistically significant. Of the 188 lymph node biopsies, 119 (63.3%) were male cases, and 69 (36.7%) were female cases. The age range of the study subjects is 1 to 84 years, with a mean of 31.28±18. 64 years. Localized lymphadenopathy (LAP) was found in 168 (89.4%) of the patients, and the remaining 20 (10.6%) were generalized. Among localized LN groups, cervical, mesenteric, and inguinal LN groups are the most commonly biopsied groups accounting for 66 (35.1%), 55 (29.3%) and 14 (7.4%), respectively. Regarding the size, 72.2% of benign reactive conditions were less than 2cm, whereas 74.5% of lymphomas have a size of at least 2cm. 86.9% of nonspecific reactive conditions have a duration of less than one month, whereas 89% of malignant conditions collectively presented with LAP of more than 1-month duration. A third of 61 (32.4%) were identified as histopathologically reactive nonspecific conditions and lymphomas consist 44 (23.4%) and metastatic lesions (40, 21.3%) and tuberculosis lymphadenitis (36, 19.1%). This study's histopathologic pattern of Lymph Node (LN) disease was comparable with other developing countries. Reactive nonspecific conditions and tuberculous lymphadenitis are more common before the age of 45 years. Metastatic lesions were found more common after the age of 45 years.
    VL  - 7
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • School of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia

  • School of Medicine, College of the College of Health Science, Hawassa University, Hawassa, Ethiopia

  • School of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia

  • School of Medicine, College of the College of Health Science, Hawassa University, Hawassa, Ethiopia

  • School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia

  • School of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia

  • School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia

  • Sections