Suggest Treatment For Neck Cyst In An Elderly Person

Posted on Fri, 5 Feb 2016

Question: Dear Dr.

My mother is 60 years old lives in XXXXXXX last two month, she had small cyst on her right side of neck. She been to local Doctor and he prescribed antibiotic but no change. Last couple of days this cyst turned red and it seems pus formation started. Please let me know what should we do? As I red doctor can do FNAC or may be removed it by minor surgery. Please help me.

Thanks
xxxxxxxxxx XXXXXXX

Answered by Dr. Hariom Sharma (6 hours later)

Brief Answer:
Yes, doctor can do FNAC or maybe removed by minor surgery

Detailed Answer:
Hi Sir,
I have gone through your query; and most probably it suggests that your mother maybe suffering from the inflammatory cyst.

But to rule out the other disease and for better management your mother may go for
1. FNAC of the neck cyst.
2. USG of the neck.
3. Head and neck examination by ENT specialist to rule out the secondaries.
4. Removal of the cyst maybe suggested by the specialist, followed by histopathological examination.

Regards
Dr Hariom Sharma, MS, XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Hariom Sharma (2 hours later)

Dear Dr. XXXXXXX

Thanks for responding, my mother went for FNAC and I will let you know about the result. I have one more question- is this comes under ENT or general surgery because primary care physician sent my mother to general surgeon and I was confused about it. Please let me know about it.

Regards
xxxxxxxx XXXXXXX

Answered by Dr. Hariom Sharma (42 minutes later)

Brief Answer:
This comes under ENT

Detailed Answer:
Hi,
I have gone through your follow up query; and for your kind information it comes under ENT speciality. Therefore better to consult with ENT doctor instead of general surgeon or first preference goes to the ENT specialist. Nevertheless, we can wait for the FNAC report and decide what to do next.

You are most welcome.

Regards
Dr Hariom Sharma MS, XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Hariom Sharma (34 hours later)

Dear Dr. XXXXXXX

I have report and sending it you. Please take a look.

regards
xxxxxxx XXXXXXX

Answered by Dr. Hariom Sharma (12 hours later)

Brief Answer:
It may be a tubercular lymphadenitis

Detailed Answer:
Hi XXXXXXX Sharma Ji,
I have gone through your follow up query; it suggests that your mother may be suffering from the tubercular lymphadenitis.

To confirm the tuberculosis your mother may go for the above mentioned test as described in the report.

Your mother also needs to go for X ray chest PA view and laryngoscopy to rule out the primary lesion.

Regards
Dr Hariom Sharma MS, XXXXXXX

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad