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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is A Painful Lymph Node On Right Side Of Neck Suggestive Of Lymphoma?

My fiance went to the ER one week ago due to a tender lump on his right eyebrow accompanied by a swollen lymph node on the right side of his neck. The doctor told him it was likely caused by an insect bite and his wbc count was normal. Since then, the lump has gotten larger and his entire eyelid is now puffy. The pain radiates from the back of his head down the right side of his face and to his neck. The lymph node is also still enlarged. Could he have been misdiagnosed and could this possibly be lymphoma even though his wbc count was normal? Also, his sister died due to lymphoma so could this be something hereditary?
Fri, 6 May 2016
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General & Family Physician 's  Response
Hello dear Greetings
Regarding your fiance lump at the right eyebrow which is tender with painful sensations radiating to the right side of the face of the head and neck following a swollen lymph node with a family history of lymphoma I am suggesting that you have developed the following differential diagnosis

Cellulitis
Folliculitis
Iridocyclitis
Lymphoma
Fixed drug reaction

In view of this please do the following test
Blood culture
Wound biopsy
Lymph node biopsy
Urine toxicology
Philadelphia chromosome analysis

Meanwhile please see an oncologist specialist with the results and for further clinical assessment and adequate drug prescription

I hope this helps Regards
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Is A Painful Lymph Node On Right Side Of Neck Suggestive Of Lymphoma?

Hello dear Greetings Regarding your fiance lump at the right eyebrow which is tender with painful sensations radiating to the right side of the face of the head and neck following a swollen lymph node with a family history of lymphoma I am suggesting that you have developed the following differential diagnosis Cellulitis Folliculitis Iridocyclitis Lymphoma Fixed drug reaction In view of this please do the following test Blood culture Wound biopsy Lymph node biopsy Urine toxicology Philadelphia chromosome analysis Meanwhile please see an oncologist specialist with the results and for further clinical assessment and adequate drug prescription I hope this helps Regards