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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should A Swollen Lymph Node In The Neck Be Treated?

so 6 months ago I went to bed and felt something weird happening in the left side my neck. 24 hours later it had swelled to the size of like 3 fingers. I had already been to the clinic for a infected finger the day before and was given antibiotics.I also had a bad cough. I returned after the swelling started. I was told it was a swollen lymph node. of course. Two months later it was still swollen but decreased by maybe 25%. I went to another clinic. I wasn t given anymore antibiotic but I had a FNA performed. A thick tan pus came out but they were not able to find any cells for a biopsy. But still they got quite a lot of fluid out and was now the size of maybe 1cm. A month later had a ct scan and the results said unspecific slightly thick walled cystic mass filled with fluid. went to another doctor gave me more antibiotics.im 7 days into a 14 day course of amoxcillan. Im not sure if its smaller but it does feel more movable than before. its been 6 months since the swelling appeared. it feels squishy,rubbery and smooth. I m not looking for a diagnosis here im just curious about the possibilities. is it unusual for a lymph node not to react to antibiotics and if so why?
Mon, 6 Jul 2015
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General & Family Physician 's  Response
You have done FNA done CT both of which showing cystic swelling. I would like to know your age , address n other symptoms like fever ,cough , weight loss , ect.
Cystic swelling in the neck with thick paste like gelatinous material on aspiration can be seen in Extra pulmonary tuberculosis. For confirmation you have to do ZN staining or more sensitive PCR study on aspirated material.
Another possibility is of Hodgkin lymphoma for that you have to do lymph node biopsy.
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How Should A Swollen Lymph Node In The Neck Be Treated?

You have done FNA done CT both of which showing cystic swelling. I would like to know your age , address n other symptoms like fever ,cough , weight loss , ect. Cystic swelling in the neck with thick paste like gelatinous material on aspiration can be seen in Extra pulmonary tuberculosis. For confirmation you have to do ZN staining or more sensitive PCR study on aspirated material. Another possibility is of Hodgkin lymphoma for that you have to do lymph node biopsy.