Aim: To determine the pattern and causes of lymph node enlargement of
cervical region in Ibadan, Nigeria.
Materials and Methods: A 10-year (2003-2012) retrospective study was
conducted on all head and neck lymph node biopsies received at the
Department of Pathology, University College Hospital, Ibadan, Nigeria.
Results: A total of 101 lymph node biopsies of cervical region were received
within this period of study. 59.4?ses were seen in Males. Second decade
of life has the highest number of cases (22.8%) followed by 3rd decade
(17.8%). The common cause of cervical lymphadenopathy include non -
specific hyperplasia, tumour metastasis and Non Hodgkin’s lymphoma
seen in 27 (26.7%), 22 (21.8%) and 20 (19.8%) respectively. Granulomatous
and Hodgkin’s Lymphoma constitute 17 (16.8%) and 11 (10.9%)
respectively. The granulomatous causes were all due to tuberculosis. A
single case of Rosai-Dorfman disease was seen in a male in the 3rd decade
of life.
Conclusion: This study shows that metastatic tumours, Hodgkins
lymphoma and Non Hodgkins lymphoma constituting 52.4% of all cases
of cervical lymphadenopathy are common in this environment therefore
highlighting the need for early and proper evaluation of patients.