Brief Answer: its mostly tuberculosis Detailed Answer: Hi XXXXXXX Thanks for writing to XXXXXXX This is Dr. Ashish Verma, a general surgeon, answering to your query. In India, a patient with these symptoms is first thought of as being suffering from tuberculosis. We do not think in terms of Lung cancer in a young male. So first you need to see a physician or a chest & tb specialist...for a physical examination to know the site and size of the neck swellings, and that they are discreet or matted...matted swellings go more in favour of tuberculosis...he will also inspect for any abmormality in the draining areas of those swellings, if he feels that those swellings are lymph nodes...he may ask you to take a FNAC (needle biopsy) of the neck swelling, also sputum tests and a complete blood count. He may also put you on a course of broad spectrum antibiotics like one from the third generation cephalosporins...to see if your neck swellings reduce in size with them. Further treatment will depend upon the results of the tests. Hope that i have answered all your queries. If you have further queries, i will be glad to answer them. Regards Dr. Ashish Verma

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