
What Do My Lab Test Reports Indicate?

The pulsating node is likely due to an artery near to it
Detailed Answer:
Hi xxxxxxxxxxx,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The neck contains a large number of lymph nodes which enlarge due to infection and inflammation. An isolated 14 mm node is not a serious problem and is usually from reactive lymphadenopathy. An acute infection is not always mandatory and chronic low grade infections can also cause it. However, if it is superficial then doing an excision biopsy is acceptable.
2. The node might be pulsating due to transmitted pulsations from the artery below it. If the node has been reported on CT scan neck then it is unlikely to be any other structure. The pulsation is normal in thin people.
3. It is good if the ENT can go through the images and get an idea of the plane of the node and the exact location. It is important not to disturb any artery or vein when removing such a node and your doctor will be aware of it. The plane of separation between the node and vessel will be clearly seen on the CT scan. A carefully planned excision can always be done without any serious problem.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,


Please take an informed decision
Detailed Answer:
Hi,
Thanks for writing back with an update.
1. Surgery is a procedure which is done when medicine treatment does not give the desired response and the symptoms continue to persist. If you are falling sick too often like sore throat more than once in 3 months then the tonsillectomy might bring you significant relief and allow you to stay healthy. If you do not get sore throat often then probably the surgery can be put on hold.
2. The lymph node excision is a small surgery. It would be good to see the pictures before giving an opinion but however I guess that the node is on a superficial plane and approachable. I am not sure without images but if you want to avoid excision biopsy then you can go for FNAC of the lymphnode. This is a needle prick and not a surgery. It will give necessary information on the cells and if there is a doubt of any significan disease then you can go for lymph node excision biopsy.
3. I hope my observation will help you take a call.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,


Anaesthesia should not be a problem for you
Detailed Answer:
Hi,
Thanks for writing back with an update.
1. There should not be any problem with general anaesthesia if you have got it earlier. Wishing you good health.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,

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