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Tuberculous lymph node calcification detected on routine panoramic radiography: a case report

Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey

*Correspondence to: Ülkem Aydin, Süleyman Demirel Universitesi, Dishekimligi Fakultesi, Oral Diagnoz ve Radyoloji Bolumu, Dogu Kampusu, 32200 Çunur, Isparta, Turkey; E-mail: ulkem_aydin{at}yahoo.com

Received 11 March 2003; revised 30 June 2003; accepted 2 July 2003

Cervical lymph node calcification is usually asymptomatic and may be found on a routine panoramic survey. Such calcifications in tuberculosis occur most often after caseation of the node or after treatment. Our patient had lymph node tuberculosis about 50 years ago. On the panoramic radiograph, several massive, irregular, radiopaque masses were detected. These masses were regarded as submandibular cervical lymph node calcifications. We suggest that lymph node tuberculosis may have been due to ingesting milk infected with Mycobacterium bovis, and that both the delay in the diagnosis and the successful treatment was the cause of lymph node calcification.

Keywords: tuberculosis, lymph node; radiography, panoramic

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