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What Causes Swollen Lymph Nodes On Neck With Normal FNAC Test?

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Posted on Tue, 9 Dec 2014
Question: Neck lymph node selling. All reports normal including cr scan and fnac is normal.
doctor
Answered by Dr. T Chandrakant (35 minutes later)
Brief Answer:
Repeat FNAC- Biopsy to confirm.

Detailed Answer:
Hi.
Thanks for your query,albeit small and specific.

I would like to know more details, as that will help us both to come to a conclusion.

Since when have you got the neck lymph nodes?
-Are they on one side or both sides?
-What are the sizes like just palpable- less than a centimeter or more than a centimeter?
Are they painful on pressure?
Are they XXXXXXX or fixed ?
Are they discrete or attached to each other?
What is the status of the scalp ( any dandruff), teeth, oral cavity, pimples, sinusitis or any infection in the head and neck area?
Please post the scanned copies of the reports attached to this query, I may get some clue.

As a general rule if the lymph nodes are less than 1 cm , discrete, non-tender, lurking for a long time without any increase or either local or general ( fever, loss of appetite, weight) symptoms the worry is reduced. And in your case the CT scan, FNAC and other tests are normal.

I would advise you the following:
Take a second opinion if you are too much worried.
Repeat the FNAC from another Pathologist
Take a course of an antibiotic and anti-inflammatory medicines for 1 to 3 weeks , see the progress.
If still in doubt the best confirmatory test is a formal Lymph node biopsy Done by an ENT or General Surgeon.

This will give the final diagnosis and the worries will come to an end.

I hope this answer helps you, please free to ask for further information if you need to and you may rate this answer if you liked it.

Could read your XXXXXXX query. TMJ ( TM Joint) affections usually do not cause lymph nodes swelling in the neck.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. T Chandrakant (33 minutes later)
Its only on obe side right side. Two fnac done. Its 1.5 cm. its soft but pain is more in tmj joint. Ultra sound done. All other aspects normal. No fever. Mild nise congestion and sinus .
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Continue medicines/ liquid diet only.

Detailed Answer:
Thanks for your feedback.

If this is a single node, of 5 days origin just continue the medicines.
It is soft and no other symptoms other than mild nose congestion and more pain in TMJ. Please do not worry much.

Cancer nodes take a long time to appear, are hard and painless ( if this is what is bothering you).

For TMJA- Take soft or liquid diet. The medicines you are taking for the lymph nodes also will work for TMJA.


Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. T Chandrakant (9 minutes later)
Thank you. Does it take 2 weeks to settle there is mild inflammation on salivary gland near tmj
doctor
Answered by Dr. T Chandrakant (13 minutes later)
Brief Answer:
Yes, 1 to 3 weeks

Detailed Answer:
Yes, it may take from 1 to 3 weeks for all the inflammation in the node, salivary gland and TMJ to settle.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Swollen Lymph Nodes On Neck With Normal FNAC Test?

Brief Answer: Repeat FNAC- Biopsy to confirm. Detailed Answer: Hi. Thanks for your query,albeit small and specific. I would like to know more details, as that will help us both to come to a conclusion. Since when have you got the neck lymph nodes? -Are they on one side or both sides? -What are the sizes like just palpable- less than a centimeter or more than a centimeter? Are they painful on pressure? Are they XXXXXXX or fixed ? Are they discrete or attached to each other? What is the status of the scalp ( any dandruff), teeth, oral cavity, pimples, sinusitis or any infection in the head and neck area? Please post the scanned copies of the reports attached to this query, I may get some clue. As a general rule if the lymph nodes are less than 1 cm , discrete, non-tender, lurking for a long time without any increase or either local or general ( fever, loss of appetite, weight) symptoms the worry is reduced. And in your case the CT scan, FNAC and other tests are normal. I would advise you the following: Take a second opinion if you are too much worried. Repeat the FNAC from another Pathologist Take a course of an antibiotic and anti-inflammatory medicines for 1 to 3 weeks , see the progress. If still in doubt the best confirmatory test is a formal Lymph node biopsy Done by an ENT or General Surgeon. This will give the final diagnosis and the worries will come to an end. I hope this answer helps you, please free to ask for further information if you need to and you may rate this answer if you liked it. Could read your XXXXXXX query. TMJ ( TM Joint) affections usually do not cause lymph nodes swelling in the neck.