Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
149 Doctors are Online

Have tender swollen nodes in groin area after cervical lymphadenopathy. Do I need a lymph node biopsy?

User rating for this question
Very Good
Answered by

Practicing since : 2003
Answered : 588 Questions
I am a 31 year old female and I have had cervical lymphadenopathy for about 2 months now and now have tender swollen nodes in the groin a well. CT of neck showed a supraclavicular node and others present but within normal limits. It also showed a focal aneurysmal dilation of the left internal jugular vein. I just had a biopsy done on tonsils..both removed, as well as places on posterior tongue. Report states right base of tongue: two pieces of polypoid tissue lined by nonkeratinizing squamous epithelium, submucosa shows increase amount of fibroblasts and capillaries consistent with reactive changes. Right piriform sinus shows polypoid lymphoepithelial with a well developed lymphoid follicle under the squamous epithelium. Right tonsil shows tissue with well developed lymphoid follicles showing germinal centers and well defined mantel zones. Some crypts markedly dilated and filled with filamentous bacterial colonies (Actinomyces). No evidence of malignancy but a mucocele found in a peritonsillar minor salivary gland. Left tonsil shows the same as right only with stromal fibrosis. Please tell me what to do from here. Do I need a lymph node biopsy? Please help!!

Would like to also add that this started as redness andninflammationnon one side of throat...particularly the anterior and posterior pillars on right side. Then inflammation started on left side as well...then all over mouth. Had little nodules or polyps come up by tonsils & back of tongue as well as on alveolar mucosa. Little capillaries are red and inflamed. I have good oral hygiene. None of my dr's know what is going on. Please help! I have now been on an antibiotic, antifungal, steroid, antiviral with no change.
Posted Tue, 24 Jul 2012 in Lung and Chest disorders
Answered by Dr. Gyanshankar Mishra 2 hours later
After going through your query, I would like to coment the following:
1. Your condition seems to be infective at presentation.
2. Non response to anti infective therapy demands that a culture and drug sensitivity be XXXXXXX on the tisuue biopsy sample if possible.
3. If no tissue is available than please go for excision biopsy of the supraclavicular lyph node along with culture and drug sensitivity testing of the same.
4. Other foci of infection elsewhere in the body need to be searched for.
5. A retro viral testing for HIV will be helpful.
6. Meanwhile antibiotic therapy needs to be tailored according to response.
7. A possibility of extra pulmonary tuerculosis also needs to kept and investigation like interferon gold will help.
8. An ultrasonography of abdomen for intra abdominal lymph nodes should be done.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.


Dr. Gyanshankar Mishra
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Pulmonologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor