Cervical Adenopathy

What is cervical adenopathy?

Cervical Adenopathy is abnormal growth (swollen) of cervical lymph node (gland). Which are located both on top of and under the sternocleidomastoid muscles (SCM) on either side of the neck, from the angle of the jaw to the top of the clavicle.

This muscle permits the head to move to the right and left. The right SCM turns the head to the left and vice versa.

They can be effortlessly recognized by asking the patient to turn their head into your hand while you give resistance. Drainage: The internal formations of the throat as well as part of the tonsils, posterior pharynx and thyroid gland. It is found most times in children. There are just about 300 lymph nodes in the neck, and they can be defining in many different methods.

Lymph Nodes Symptoms, Causes, Treatment

In most cases the enlargement is a transient response to a benign local or generalized viral infection, and almost all children have small palpable cervical, auxiliary and inguinal nodes. About 5% have small palpable suboccipital nodes. Distinctly uncommon are palpable postauricular, supraclavicular, epitrochlear, or popliteal nodes, swollen lymph nodes.

What are the symptoms of swollen lymph nodes?

  • Lymph node size is great than 1cm
  • Lymph gland painful or tender to touch.
  • Cervical lymph nodes is one-sided, meaning only one side of the body
  • Accompanied by a normal overlying skin findings, like ulceration, redness, warmth, or a rash.

Cervical Adenopathy Causes

  • Infection is the most common cause of cervical adenopathy.
    Human herpesvirus 6, adenoviruses, herpes simplex virus, rubella, mumps virus, Epstein_Barr, cytomegalovirus, varicella, human immunodeficiency virus causing cervical adenopathy.
    Contact with domestic or wild animals or with feeding insects may result in lymphadenitis due to Toxoplasma gondii, Francisella tularensis, Yersinia pestis, Rochalimaea henselae, or Pasteurella multocida.
  • Most often occurs after a lick or scratch from a cat or dog.
    Immunization by a wood splinter, pin, fish hook, cactus spike, or porcupine quill.
  • inflammatory reaction from other disease (like rheumatoid arthritis, lupus, other types of vasculitis )
  • Cervical lymph nodes examination video

Cervical Adenopathy Treatment

In cervical lymphadenopathy Antibiotics should be given only if a bacterial infection is suspected. This treatment is often given before biopsy or aspiration is performed. This practice may result in unnecessary prescription of antimicrobials. However, the risks of surgery often outweigh the potential benefits of a brief course of antibiotics.

Differential Diagnosis For Unilateral cervical adenopathy

Differential Diagnosis For Unilateral cervical adenopathy Infectious Disorders Specific Agent Streptococcal pharyngitis beta type A Klebsiella Immune deficiency.

Most cases of lymphadenopathy are self-limited and require no treatment other than observation. Nevertheless, it appears that mainly clinicians don’t think about this syndrome as a chance when they come upon patients with unsolved cervical adenopathy in whom the common tests for contagious mononucleosis are unenthusiastic.

Actually, the mainstream of such patients approach to the operating room with assumed diagnosis of malignant neoplasm, above all of malignant lymphoma. Here are many example about Ultrasonography of cervical lymph nodes in girls

Cervical lymphadenopathy Powerpoint Presentation

Surgical care usually involves a biopsy if lymphadenitis is present.

If Lymphadenopathy problem has been there for a LONG time, PLEASE contact to your doctor.

Article References

Clinical Practice Guidelines : Cervical Lymphadenopathy

Bilateral cervical adenopathy without a significant thyroid

Childhood Cervical Lymphadenopathy: Etiology – Medscape

Pediatrics: cervical adenopathy in children.


Case Study: Cervical Adenopathy, Weight Loss, and Night sweats