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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Should Be Started For Reactive Lymphadenitis?

Hi Doctor, I had swollen Lymph Node under right side of Jaw and one back of my ear, i went through Blood test ESR which is 15 and TB Antibody with ELISA which is 0.41 and i been through FNAC My FNAC Report says the following. SMEARS REVEAL LYMPHOID CELLS ON A HAEMORRHAGIC BACKGROUND. THE PREDOMINANT CELLS ARE SMALL LYMPHOCYTES. SCATTERED AMIDST THESE CELLS ARE SEEN FEW CENTROBLASTS, CENTROCYTES, IMMUNOBLASTS, PLASMA CELLS, NEUTROPHILS AND MACROPHAGES. DIAGNOSIS:-REACTIVE LYMPHADENITIS. Is there anything to worry and what treatment should i start, please help me to answer Doctor.
posted on Sat, 14 Apr 2012
Twitter Sun, 15 Apr 2012 Answered on
Twitter Fri, 4 May 2012 Last reviewed on
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ENT Specialist,  's  Response
Dear anurag I am Dr Sharma On the basis of info provided it appeaes to be increase in size of node secondary to infection. But then there are other factors too --- simply on the basis of FNAC we cannot just leave this swelling and assume it is reactive lymphadenitis. I would advise monthly review with a ENT surgeon and if there is any change in the size (increase) of swelling it is better to go for excision biopsy and histopathology of the swelling. I hope this answers your query. Do let me know if you need further help on this with regards Ravinder Sharma
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OBGYN,  Dr. Minoo Bhagia's  Response
Hello

Welcome to HCM forum

It is just an expression of your body's defence mechanism

But it is better to consult your physician

Take care
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What Treatment Should Be Started For Reactive Lymphadenitis?

Dear anurag I am Dr Sharma On the basis of info provided it appeaes to be increase in size of node secondary to infection. But then there are other factors too --- simply on the basis of FNAC we cannot just leave this swelling and assume it is reactive lymphadenitis. I would advise monthly review with a ENT surgeon and if there is any change in the size (increase) of swelling it is better to go for excision biopsy and histopathology of the swelling. I hope this answers your query. Do let me know if you need further help on this with regards Ravinder Sharma