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What Causes Lump On Right Side Of Neck?

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Posted on Tue, 3 Feb 2015
Question: Hello.. iam 28 year old female from XXXXXXX recently i found a lump in my right side of neck and have mild pain in it while pressing.no other symptoms...no weight loss,no fever,my hb is 14 and rest all are normal.i have few fat tissues(lipoma) all over body which were checked in ultrasound one year ago.my dad passed away with lymphoma 15 days back and he is 65 years old...we are yet to come out of that sad mood.i know cancer is such a pathetic disease and it played like hell with my dad's body...i dont want to see the doctor now bcoz all sad news hearing from 6 months..if i give my body for diagnose in manipal hospital,i know doctors will play and send my dead body out...please suggest me what it is..sorry if i was wrong..
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Infected Lymph node or a lipoma

Detailed Answer:
Hi XXXXXXX
I am really sorry to know your loss, I can understand the plight you are going through.

Read the whole history you have provided and the picture you have posted.
There are tow most probable diangoses.
1. Lipoma, you your have a history of lipoma on your body
2. Lymph node, there are so many reasons to have lymph node enlargement, infection being the most common cause. And this is the most common site where you get enlargement due to infection.

I know how difficult it is to undergo the tests just now.

I would suggest you the following, if you feel it appropriate at the moment.
-To get examined by an ENT or a General Surgeon, as palpation by a Surgeon can differentiate clinically. If infection is thought about, you can always take a course of 1 to 3 weeks of an antibiotic and see the results. It may regress or even vanish if it is infected lymph node.
-High resolution Ultrasonography and guided FNAC can give an accurate diagnosis.
-Biopsy is required only if all the measures fail.

Since you have tenderness (pain on pressure) and the site is posterior triangle of the neck , this looks more possibly an infected lymph node and not a Lymphoma.

I hope I have tried to answer your query and this helps you. Please feel free to ask for more if you need to or if you feel there is a gap-of-communication.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. T Chandrakant (30 minutes later)
Thank u for the reply...i have visited near by hospital....and the physician is suspecting its a lipoma and he suggested me to not to rub.since ...frequent rubbing on the area also increases the swell...

Should i go for another opinion like fnac but iam scared of it...
doctor
Answered by Dr. T Chandrakant (10 minutes later)
Brief Answer:
Do not be scared, get the doubts cleared please.

Detailed Answer:
Hi XXXXXXX believe me, this does not look like a Lymphoma. Lymphoma do not pain on pressure.
Get it examined by a Surgeon, not the Physician and ultrasound, FNAC will help to get the doubts clear so that the anxiety goes away.

Do not be scared. This is simple procedure. Since you are in XXXXXXX you can visit the Pathologist (Histopathologist) and get FNAC done.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. T Chandrakant (3 hours later)
Currently i am on tablet primolut n every day from 20days for regularizing periods....does this medicine causes swell in lymph nodes???

Sorry for asking the questions repeatedly....
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
No it should not

Detailed Answer:
You can ask any number of questions please. No worry.
Primolut N does should not cause swelling in the lymph nodes nodes
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

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

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Lump On Right Side Of Neck?

Brief Answer: Infected Lymph node or a lipoma Detailed Answer: Hi XXXXXXX I am really sorry to know your loss, I can understand the plight you are going through. Read the whole history you have provided and the picture you have posted. There are tow most probable diangoses. 1. Lipoma, you your have a history of lipoma on your body 2. Lymph node, there are so many reasons to have lymph node enlargement, infection being the most common cause. And this is the most common site where you get enlargement due to infection. I know how difficult it is to undergo the tests just now. I would suggest you the following, if you feel it appropriate at the moment. -To get examined by an ENT or a General Surgeon, as palpation by a Surgeon can differentiate clinically. If infection is thought about, you can always take a course of 1 to 3 weeks of an antibiotic and see the results. It may regress or even vanish if it is infected lymph node. -High resolution Ultrasonography and guided FNAC can give an accurate diagnosis. -Biopsy is required only if all the measures fail. Since you have tenderness (pain on pressure) and the site is posterior triangle of the neck , this looks more possibly an infected lymph node and not a Lymphoma. I hope I have tried to answer your query and this helps you. Please feel free to ask for more if you need to or if you feel there is a gap-of-communication.