Lymphadenopathy surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2],Raviteja Guddeti, M.B.B.S. [3]Delband Yekta Moazami, M.D.[4]

Overview

Surgery is not the first-line treatment option for patients with lymphadenopathy. Surgery is usually reserved for patients with either malignancy and an indication of biopsy. It involves the removal or aspiration of lymph nodes. They are dissected when cancer is in an advanced stage.

Indications

  • Surgery is not the first-line treatment option for patients with lymphadenopathy. It depends upon the underlying diagnosis. Surgery is usually reserved for patients with either:[1]

Surgery

A surgical biopsy also has its role in the clinical evaluation of patients with enlarged lymph nodes. Surgery, particularly in patients with suspected lymphoma recurrence, can significantly reduce the duration of the investigation and avoid unnecessary diagnosis.[2]

  • The feasibility of surgery depends on the underlying diagnosis.
  • Surgical care involves open biopsy or aspiration of the lymph node and its removal.
  • Lymph nodes are dissected when the cancer is in an advanced stage.

References

  1. Freeman AM, Matto P (December 13, 2018). "Adenopathy". PMID 30020622.
  2. 2.0 2.1 Dorfman T, Neymark M, Begal J, Kluger Y (November 2018). "Surgical Biopsy of Pathologically Enlarged Lymph Nodes: A Reappraisal". Isr Med Assoc J. 20 (11): 674–678. PMID 30430795.

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