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Lump above the collar bone, fine needle aspiration cytology test and biopsy, tuberculosis an assumption. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1358 Questions
User :   hi
User :   hello dr
Doctor :   Hi,
User :   I have this lump from past 3 weeks
User :   i hav been consulting an surgeon
Doctor :   Hello
Doctor :   How can i help you ?
User :   i was on medication for last 5 days
User :   wen dis lump didnt reduce i was suggested a new surgeaon
User :   yes .. above collar bone
Doctor :   May I know where exactly is the lump ?
User :   today he has suggestedfew tests like x ray , blood test
User :   no
User :   can just explain what is FNAC ?& Biospy
Doctor :   Ok, Have you got a FNAC or Biopsy of the lump ?
User :   he is assuming it to be TB
Doctor :   X ray and the blood tests will help but the fnac ( FINE NEEDLE ASPIRATION CYTOLOGY ) will be of more help
User :   fnac means extracting my lump
Doctor :   Blood test ( Lymphocyte count ) and the FNAC can be the best tools to rule out TB
User :   so deris no need to cut open the whole lump
Doctor :   and yes , TB is most common consideration
User :   deris - there is
User :   ok
Doctor :   FNAC involves taking material from the lump using a needle and examining under a microscope to find the bacteria and to see the cell abnormalities
User :   this will a complete picture
Doctor :   No , FNAC does not involve cutting, its jus like a injection
User :   i mean we are just extracting a portion of it
Doctor :   yes,
Doctor :   just small amount of the material in the lump material ,
Doctor :   as much as hollow in a needle can hold
User :   ok.. if my x ray n blood test clearly state tuberculosis then do i need to go for FNAC
User :   OK
Doctor :   yes, since the bacterias and the cells are considerably small measuring in microns a small amount of the material from the lump will be more than sufficient
User :   may i ask you where are u based ?
User :   if i want this test to be done in mumbai
User :   whihc place would u suggest
Doctor :   Banglore
User :   pls name one of them
Doctor :   Yes, the test is available in most of the labs all over the India
Doctor :   Ranbaxy, Metropolis or Thyrocare labs are better ones
User :   k
User :   what care shld i take so that it doesnt spread to others?
Doctor :   Is there anything I can help with ?
User :   what care shld i take so that it doesnt spread to others?
Doctor :   Only way to stop the spread is by starting the treatment
User :   one last thing is other than tb what
Doctor :   If its confirmed TB then you may have to start the ATT ( Antitubercular treatment ) .. After 2 weeks of the same the infection will get contained
User :   if it not detected tb what do thk the real reason behind this?
Doctor :   It could be a non specific bacterial infection either in the lymph node normally existing there or it could be a reactionary swelling of the lymph node due to infection in the breast or it could also be lymphoma ( cancer ) ( If you have more such lumps in the body )
Doctor :   FNAC will help to know the exact cause
User :   ok dr
Doctor :   FNAC is not only for TB , it can detect any kind of infections or cancers
User :   nothing dr
User :   thanks a lot
Doctor :   Anything else
Doctor :   Ok, wish you good health
Doctor :   you are welcome
Doctor :   bye for now
Doctor :   take care
Question is related to
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