Lymphadenopathy can occur in any age group, in symptomatic or asymptomatic
patients, and in a single site or at multiple sites. Lymphadenopathy is ass
ociated with numerous disorders. An abnormal lymph node may be observed or
palpated by the patient, found by a health care worker, or discovered throu
gh radiologic evaluation. Lymphadenopathy may be a part of a complex case p
resentation, or the clinical cause may be straightforward. Patients with po
tentially curable malignant disorders may have lymphadenopathy as the first
sign of their disease. This review of lymphadenopathy summarizes general c
onsiderations, discusses which patients might be considered for biopsy, rev
iews which nodes are most likely to be diagnostic, outlines initial diagnos
tic considerations on a region-by-region basis, and reviews a broad differe
ntial diagnosis for adenopathy.