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Swollen Lymph Node In Neck For 2 Months. Have Results

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Posted on Sat, 13 Jul 2019
Question: swollen lymph node in neck for 2 months. have results from ultrasound. just wondering if this could be cancer
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Follow up: Dr. Olgeta Xhufka (3 minutes later)
Findings
Bilateral cervical chain lymph nodes are noted the largest of which is seen at the left superior/lateral neck measuring up to 2.9 x 1.3 x 0.5 cm with internal vascularity. A small fatty hilum is seen within this lymph node. Additional visualized bilateral cervical chain lymph nodes are small and predominantly contain fatty hilums
Impression
Outside of palpable abnormality at the left superior/lateral neck is a 2.9 x 1.3 x 0.5 cm lymph node, which has a small fatty hilum. Statistically , this lymph node could most likely be reactive/inflammatory. Correlation with adjacent skin changes would be helpful. If lymph node appears to enlarge or does to least partially subside then an ultrasound-guided fine-needle aspiration could be performed.
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Cytology, biopsy, total blood count with formula and mono test needed

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

Most probably these lymph nodes may be reactive and inflammatory but also there is a possibility of them being cancerous.
I can recommend you to do needle aspiration to do cytology and biopsy to check for their origin.
Also I recommend you to do a total blood count with formula and mononucleosis test.

Hope I have answered the question.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Olgeta Xhufka (21 hours later)
Blood test all were normal. What are the chances that this could be cancer? The Dr. doesnt seem to concerm
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Answered by Dr. Olgeta Xhufka (4 minutes later)
Brief Answer:
Biopsy of lymph nodes can determine the diagnosis.

Detailed Answer:
There is not a certain percentage to be said about cancer possibility with that information so far.
You should have done an abdominal ultrasound too.
Biopsy can determine the diagnosis.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Olgeta Xhufka (34 minutes later)
The Dr. said he didn't think it was anything serious.
doctor
Answered by Dr. Olgeta Xhufka (0 minute later)
Brief Answer:
I believe his opinion is right.

Detailed Answer:
Since your doctor said it wasn't anything serious then I believe his opinion because he could have seen something reassuring in the examinations you did. Anyway biopsy is the reassuring examination.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

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

General & Family Physician

Practicing since :2011

Answered : 10113 Questions

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Swollen Lymph Node In Neck For 2 Months. Have Results

Findings Bilateral cervical chain lymph nodes are noted the largest of which is seen at the left superior/lateral neck measuring up to 2.9 x 1.3 x 0.5 cm with internal vascularity. A small fatty hilum is seen within this lymph node. Additional visualized bilateral cervical chain lymph nodes are small and predominantly contain fatty hilums Impression Outside of palpable abnormality at the left superior/lateral neck is a 2.9 x 1.3 x 0.5 cm lymph node, which has a small fatty hilum. Statistically , this lymph node could most likely be reactive/inflammatory. Correlation with adjacent skin changes would be helpful. If lymph node appears to enlarge or does to least partially subside then an ultrasound-guided fine-needle aspiration could be performed.