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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Soft And Non-adhesive Lump On Neck. Sonography Shows Enlarged Parotid Gland. How Long To Wait For Regression?

My son(age:13y) has a lump in his neck for about 2,5 month, it is soft and non adesive. It grew more but seem to regress a little (wax and wane?) sonography emax report: Enlarged Rt. Parotid gland has a few hypoech well defined masses ( lymphadenopathy ) with different sizes(27 X 15mm, 17 X 15 mm, 17 X 15 mm, 22 X 14mmm…) chest X ray, abdominal sonogram and all blood test ( CBC, ESR , CRP ,LFT,LDH, TOXO, rubella ..) are normal. . In CT scan with injection: Rt. Parotid shows a 18x16mm mass lesion with enhancement. This is an intrinsic mass. without anything more .FNA report: slides show cellular containing a hetrogenous population of lymphoid cells mainly composed of small lymphocytes mixed with medium and large lymphocytes. Many tangible body macrophages also noted. DX: lymphoid tissue with morphologic finding of reactive lymph node, negative for malignant cell I know that FNA is not very precise and the mass dosen;t seem to regess by now. How long wait for regression? I am really worried and don’t know what to do.
Thu, 7 Feb 2013
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Pediatrician,  's  Response
Hi,
Thank you for your query.Hope this answers your query.
I can understand your concern.
As the FNAC is inconclusive the gold standard for diagnosis would be an excision biopsy.
I think if the mass does not regress in 15 more days you should consult with a pediatric surgeon.
If you have any other queries kindly direct them to me.
Wishing your child a speedy recovery.Have a nice day.
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Child Has Soft And Non-adhesive Lump On Neck. Sonography Shows Enlarged Parotid Gland. How Long To Wait For Regression?

Hi, Thank you for your query.Hope this answers your query. I can understand your concern. As the FNAC is inconclusive the gold standard for diagnosis would be an excision biopsy. I think if the mass does not regress in 15 more days you should consult with a pediatric surgeon. If you have any other queries kindly direct them to me. Wishing your child a speedy recovery.Have a nice day.