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2015, (b) Suspicious lymph nodes are nodes > 1 cm in short axis (except jugulodigastric, which can be > 1.5 cm) or nodes containing calcification, cystic components, or irregular margins
Lymph Node Distribution Site Number Percentage Cervical 133 70.7 Supraclavicular 33 17.6 Submental 12 6.4 Axillary 43 22.9 Inguinal 9 4.8 Epitrochlear 5 2.7 Submandibular 18 9.6 Jugulodigastric 9 4.8 Parotid 2 1.1 Scalene 1 0.5 Table 4.
Most common site of cervical lymphadenopathy as observed in the present study was jugulodigastric group of lymph node (46%).
The most common group of lymph nodes affected in our study was that of the upper deep jugular and jugulodigastric lymph nodes followed by posterior triangle group.
Examination revealed a partially obstructing ulcerated left tonsillar mass (figure 1) and a 3-cm left jugulodigastric neck node.
On analysing the site of the palpable lymph nodes in all the different groups of the diseases, it was seen that the Jugulodigastric, Posterior triangle, and the submandibular groups of lymph nodes were the most commonly involved groups with a percentage being 41%, 21%, and 13% respectively.
The MRI also identified an ipsilateral 1.3-cm jugulodigastric lymph node.
CT of the neck performed at admission showed an approximately 13x 3x 4 cm, well defined mass in the left jugulodigastric chain.
A superficial parotidectomy was performed along with removal of several adjacent superior jugulodigastric lymph nodes.
Associated clinical findings in chronic tonsillitis were hyperemia of anterior tonsillar pillars, bilaterally enlarged jugulodigastric lymph nodes with bilaterally enlarged tonsils.
The tonsils were enlarged, and small jugulodigastric lymph nodes were palpable.
The jugulodigastric lymph node is located in the same area as a typical second branchial cleft cyst.