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Is It Safe To Remove Lymphatic Node In Case Of Lymphatic TB?
Question: Is it safe to remove lymphatic node in case of lymphatic t.b? What are the consequences of this operations? The medication for lymphatic t.b. has been done over 6 months. There is little persistence of tingling on shoulder. The lymphatic t.b. was detected on left side down of neck.
Brief Answer:
It is safe to remove the node....
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Yes, it is safe to remove the lymph node in case of TB.
The consequences ::
The positive are:
The lymph node mass which has not regressed after 6 months of ATT (anti-tubercular treatment) means that the center of the node is not responding to the treatment hence it is not completely regressed. By removing such a node, the diseased part is removed.
The Negative: Removal of the lymph node is a surgery and carries the usual risk of surgery like infection, bleeding and so on , as is with any other surgery.
If the node is not in the area of important structures the risk is very minimal.
You are saying that TB was detected on left side down the neck. This area is relatively safe and carried not much of the risks.
The presence of tingling on the shoulder can be involvement or compression over a sensory nerve supplying that particular area.. This may be improved on removal of the node.
I hoe this answer helps you to get the answers you wanted, please feel free to ask for more if you need to or if you feel there is gap of communication.
It is safe to remove the node....
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Yes, it is safe to remove the lymph node in case of TB.
The consequences ::
The positive are:
The lymph node mass which has not regressed after 6 months of ATT (anti-tubercular treatment) means that the center of the node is not responding to the treatment hence it is not completely regressed. By removing such a node, the diseased part is removed.
The Negative: Removal of the lymph node is a surgery and carries the usual risk of surgery like infection, bleeding and so on , as is with any other surgery.
If the node is not in the area of important structures the risk is very minimal.
You are saying that TB was detected on left side down the neck. This area is relatively safe and carried not much of the risks.
The presence of tingling on the shoulder can be involvement or compression over a sensory nerve supplying that particular area.. This may be improved on removal of the node.
I hoe this answer helps you to get the answers you wanted, please feel free to ask for more if you need to or if you feel there is gap of communication.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you Doctor for your answer. However I would like to ask that we had asked a Doctor who is T.B specialist. He has suggested to take R-cinex 600 m.g. for 30 days. He says it may secret a pus like fluid which may delay the complete healing of the wound. We would like to have your view on the same.
Brief Answer:
R-Cinex with INH to be continued
Detailed Answer:
Since you have already taken a 6 months treatment you can get the surgery done any time you wish to.
It is necessary to continue R-Cinex 600 and IHN 300 (Isoniazide) in combination for further few more months as lymph node is called a ''extra-pulmonary'' where at many ATT centers advise a total duration of ATT of 9 months minimum.
By a good surgical technique the node is usually not ruptured as it is already 6 months which creates a fibrotic layer and the node is usually pealed off the bed.
So nothing to worry and the patient is already under ATT. So nothing to worry about this factor.
You may please go ahead with ATT and treatment.
Please do not forget the necessity of multivitamins, proteins, iron as may be needed as per the investigations and liver function tests too. Have full diet, try to do light exercises. All these help directly to have a proper recovery.
I hope this helps, pl feel free to ask more if you need to (and you may rate this answer before closing the query.)
R-Cinex with INH to be continued
Detailed Answer:
Since you have already taken a 6 months treatment you can get the surgery done any time you wish to.
It is necessary to continue R-Cinex 600 and IHN 300 (Isoniazide) in combination for further few more months as lymph node is called a ''extra-pulmonary'' where at many ATT centers advise a total duration of ATT of 9 months minimum.
By a good surgical technique the node is usually not ruptured as it is already 6 months which creates a fibrotic layer and the node is usually pealed off the bed.
So nothing to worry and the patient is already under ATT. So nothing to worry about this factor.
You may please go ahead with ATT and treatment.
Please do not forget the necessity of multivitamins, proteins, iron as may be needed as per the investigations and liver function tests too. Have full diet, try to do light exercises. All these help directly to have a proper recovery.
I hope this helps, pl feel free to ask more if you need to (and you may rate this answer before closing the query.)
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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