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Case Report: Metastatic Neck Nodes of Unknown Origin with Concurrent Tuberculous Lymphadenitis. Is Fine Needle Aspiration and Cytology (FNAC) Adequate?

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Abstract

Presentation with cervical lymphadenopathy would usually have an aetiology of neoplasm, infection or reactive cause. Dual pathology of regional metastasis with simultaneous occurrence of tuberculous lymphadenopathy is rather rare. Herein the authors present a case of primary occult carcinoma and tuberculous lymphadenopathy in an unfortunate patient. The reliability of fine-needle aspiration cytology as a first-line investigation, with alternative methods in approaching cervical lymphadenopathy, was further dissected.

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Acknowledgement

The author would like to thank the Director General of Health Malaysia for the permission to publish this paper

Funding

The authors declared that this study has received no financial support.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Selayang, Batu Caves, Selangor, Malaysia

    S Darmma Subramaniam, Geng Ju Tuang & Zainal Azmi Zainal Abidin

  2. Department of Otorhinolaryngology, Head and Neck Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia

    S Darmma Subramaniam

  3. Department of Otorhinolaryngology, Head and Neck, Universiti Kebangsaan Medical Centre, Kuala Lumpur, Malaysia

    Geng Ju Tuang

  4. Department of Pathology, Hospital Selayang, Batu Caves, Selangor, Malaysia

    Salmi Abdullah

Authors
  1. S Darmma Subramaniam
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  2. Geng Ju Tuang
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  3. Zainal Azmi Zainal Abidin
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  4. Salmi Abdullah
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Contributions

SDS: Conceptualization, Methodology, Writing—Original Draft, Investigation, Visualization, Project administration. GJT Conceptualization, Methodology, Writing—Review & Editing, Visualization. ZAZA: Writing—Review & Editing, Supervision, Project administration. SA: Writing—Review & Editing, Supervision, Investigation.

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Correspondence to S Darmma Subramaniam.

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Subramaniam, S.D., Tuang, G.J., Zainal Abidin, Z.A. et al. Case Report: Metastatic Neck Nodes of Unknown Origin with Concurrent Tuberculous Lymphadenitis. Is Fine Needle Aspiration and Cytology (FNAC) Adequate?. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 5888–5892 (2022). https://doi.org/10.1007/s12070-021-02497-w

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  • DOI: https://doi.org/10.1007/s12070-021-02497-w

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