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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Painless Lump On The Neck And Head?

i develop a lump on right side of my neck directly under my ears is the side of a grape...2 days ago it happend over night and at firs was very tender now it dosin t hurt.....but i also seen to be findind some tender spots in my right side of the head. i have been in a lot stress in the past 2 weeks
Sat, 31 May 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Multiple swelling on side of neck could be due to lymph node enlargement; swelling of salivary gland; soft tissue swelling like muscle swelling, fibrous tissue swelling, etc.
A tender swelling is probably due to lymph node enlargement.
An infectious focus can lead to painful lymphadenitis.
However, an ultrasound of neck along with aspiration cytology is required.
In aspiration cytology, cells are aspirated from the swelling using a thin needle.
The cells are spread on slide, stained with appropriate stains.
These cells are examined microscopically and origin and nature of lesion is assessed.
Treatment can be instituted after results of investigations is received.
Reactive lymph node enlargement does not require any treatment.
Control of infectious focus in head and neck will treat the reactive enlargement.

Thanks and take care
Dr Shailja P Wahal
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What Is The Painless Lump On The Neck And Head?

Hello and welcome to HCM, Multiple swelling on side of neck could be due to lymph node enlargement; swelling of salivary gland; soft tissue swelling like muscle swelling, fibrous tissue swelling, etc. A tender swelling is probably due to lymph node enlargement. An infectious focus can lead to painful lymphadenitis. However, an ultrasound of neck along with aspiration cytology is required. In aspiration cytology, cells are aspirated from the swelling using a thin needle. The cells are spread on slide, stained with appropriate stains. These cells are examined microscopically and origin and nature of lesion is assessed. Treatment can be instituted after results of investigations is received. Reactive lymph node enlargement does not require any treatment. Control of infectious focus in head and neck will treat the reactive enlargement. Thanks and take care Dr Shailja P Wahal