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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Swollen Lymph Node On The Neck And High ESR Be A Sign Of Malignancy?

I noticed a swollen lymph node in my right neck in January, and went for a checkup. Blood test was conducted and only abnormal result was ESR = 47, doctor prescribed antibiotics which I took. In February another blood test was done ESR = 50. CRP = 10 but doc said CRP is still within the normal range. Lymph node still swollen. Will be going in for a biopsy of the node next week. No other symptoms or signs except for a blocked nose on the right (no ear infection detected during the check up). What could these symptoms be a sign of? and what is the probability that it is a sign of malignancy/serious health isues?
Tue, 18 Mar 2014
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General Surgeon,  's  Response
HI.
The best way to diagnose is go for an FNAC = =Fine Needle Aspiration Cytology, an OPD procedure and gives a proper diagnosis many times.IT may also aspirate pus - to send for tests for tuberculosis ( a common reason with high ESR)/
If possible get this done under USG guidance- this helps to diagnose the status of other nodes not palpable on clinical examination- adherence to each other- pus pocket inside.
IF FNAC gives a diagnosis , you may not need a biopsy. If at all they would advise only for confirmation.
Blocked nose may have no relation t the present problem .
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Could The Swollen Lymph Node On The Neck And High ESR Be A Sign Of Malignancy?

HI. The best way to diagnose is go for an FNAC = =Fine Needle Aspiration Cytology, an OPD procedure and gives a proper diagnosis many times.IT may also aspirate pus - to send for tests for tuberculosis ( a common reason with high ESR)/ If possible get this done under USG guidance- this helps to diagnose the status of other nodes not palpable on clinical examination- adherence to each other- pus pocket inside. IF FNAC gives a diagnosis , you may not need a biopsy. If at all they would advise only for confirmation. Blocked nose may have no relation t the present problem .