Welcome to Healthcare Magic.
Thanks for writing to us.
Through history you have indicated the duration of symptoms as 01 year indicates that it is a Chronic lesion/any infection long standing/caries tooth/family history of pulmonary kochs/evening rise of temperature regularly/loss of appetite and loss of weight.
The probabalities include infections such as Kochs/lymphomas ? Hodgkins(? Remote Possibility)
Whether the above history is positive in your case or not.,
Your family doctor may be requested to alter the protocol as follows ,
by first doing (a)Routine Hemogram (b)Urinalysis
(c)X-RayChest PA View (d)Neck X-ray AP (top of Trapezoid Area)and Lateral to know any bony extension of lesion. Last but the pointer "The gold standard for investigating" the above is,
(e) by doing a FNAC(Fine Needle Aspiration Cytology) in a Pathology centre and consult a general Surgeon
with pathologist's reports.HPE
report is the finall and binding.You may request for the slide and take a second pathologist's opinion also.
Get well soon,
Dr Lt Cdr ASN Bhushan.