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We reported eight cases of tuberculous cervical lymphadenitis encountered at our clinic during the period from 1978 to 1993. They consisted of three males and five females ranging in age from 7 to 75 years old. The clinical diagnosis was a tumor-like lesion in three cases and a strong suspicion of tuberculous cervical lympnadenitis in four cases; five of these cases were diagnosed as cervical lymphadenitis based on clinical evidence. Regarding treatment, surgery alone was used in two cases, and chemotherapy after surgery was employed in six cases. All resected specimens were histopathologically diagnosed as tuberculous lymphadenitis.The diagnosis of tuberculous cervical lymphadenitis is difficult to make on a clinical basis. Open biopsy of the cervical lymph nodes played an important role in the diagnosis of tuberculous cervical lymphadenitis.

A case of tuberculous lymphadenitis in the left submandibular and cervical regions is presented.The patient was a 25-year-old female, with a chief complaint of swelling in the left submandibular region.It was diagnosed clinically as tuberculous cervical lymphadenitis or malignant neoplasm.The extirpation of the tumor was performed under general anesthesia, because the tumor had extended rapidly.Histopathologic examination revealed typical tuberculous lesions in the lymphnodes and chronic sialoadenitis.The patient is well without recurrence 9 years after operation.