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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lump Inside Chin

lump under chin I have a lump, I would say about an inch back from the tip of my chin towards my throat. It is deep under the skin. I have had it for almost a year and my doctor said or was nothing. It recently tripled in size and he told me it was a stone in my salivary gland so he put me on keflex. And when it enlarged I started getting large welts on my face. Anyways, the keflex seemed to make it go down but didn t get rid of it. Now a week after I have finished the anti biotic it is growing and I am breaking out in welts again.
Mon, 9 Feb 2015
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Pathologist and Microbiologist,  's  Response
Hi! this is another very common that we see everyday in our clinic and thank you for writing this problem to you!

In cases of submandibular/submental swellings, I get 5 types of diagnoses as follows:

1. chronic sialadenitis or chronic infection due to teeth/oral infection: 60 %

2. infected mucocele: 4%

3. enlarged lymph node, non-tuberculous: 20%

4. enlarged lymph node, tuberculous: 3%

5. stone in the salivary gland: 5%

6. benign cysts: 3%

7. abscess: 4%

8. cancer: 1%

A simple fine needle biopsy and USG can confirm the diagnosis with more than 99% sensitivity/specificity

Therefore, urgently get to an ENT surgeon for discussing line of treatment.

All the best and regards,
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Suggest Treatment For Lump Inside Chin

Hi! this is another very common that we see everyday in our clinic and thank you for writing this problem to you! In cases of submandibular/submental swellings, I get 5 types of diagnoses as follows: 1. chronic sialadenitis or chronic infection due to teeth/oral infection: 60 % 2. infected mucocele: 4% 3. enlarged lymph node, non-tuberculous: 20% 4. enlarged lymph node, tuberculous: 3% 5. stone in the salivary gland: 5% 6. benign cysts: 3% 7. abscess: 4% 8. cancer: 1% A simple fine needle biopsy and USG can confirm the diagnosis with more than 99% sensitivity/specificity Therefore, urgently get to an ENT surgeon for discussing line of treatment. All the best and regards,