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Symptoms - Lymph Node Swellings Cervical, Mediastinal,hilar,abdominal, Fatigue , Breathlessness.

Posted on Sun, 19 Jan 2020

Question: Symptoms - Lymph node swellings cervical, mediastinal,hilar,abdominal, Fatigue, Breathlessness.

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Get done biopsy from cervical lymphnode.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the reports you have attached.
We need to rule out tuberculosis and malignancy.
So better to get done
1. Excision biopsy from cervical lymphnode
2. Aspiration of pleural effusion.
Please let me know if these reports are done.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Drkaushal85 (2 hours later)

Dr Bhavsar - I was not satisfied by your response on icliniq so I paid 500 again here to find another specialist to answer my questions in a more informed way. I don't believe that a pathologist is smarter than a doctor. I am looking for a XXXXXXX medical practionner who has 20 plus years practical experience who can guide on the basis of symptoms, Xray and scans and not keep on asking for biopsy.

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
All these reports are only supportive. Only biopsy is confirmatory.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
All these reports are only supportive, not confirmatory.
Only biopsy is confirmatory.
So all XXXXXXX doctor will recommend biopsy only for 100% accurate diagnosis.
If you don't want to go for biopsy then empirical anti tubercular drugs should be started.
Hope I have solved your query. I will be looking into your case. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T