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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Painful Enlarged Lymph Node In The Neck?

I have had a enlarged lymph node in my neck . I have had fna performed ct scan ultrasounds and blood work all done and doctor says it is not cancerous but it has gotten so big it can be felt againt my wind pipe so to speak and up to my jaw bone . It is painful to turn my head and when i do it seems to put pressure on my wind pipe. I often run fevers of 99.8 to 100.5. this has been going on three years medications have been tried and nothing has helped it any ideas what could be going on ?
Tue, 9 May 2017
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General Surgeon 's  Response
Hi, I had gone through your question and understand your concerns.

Considering your description there is a reactively swollen neck lymph node which is commonly seen as a reaction on any infection in your body. Also, this may be benign lymph node growth such as lymphangioma. It is good that you have done tests Ct scan to rule out malignancy but I am not sure if you did ultrasound guided needle biopsy to verify exact pathology. I suggest to do this and if this is negative then you should consider surgical removal of the lymph node since if this presses surrounding tissue or causes discomfort then this is symptomatic and treatment is indicated even if this was not a malignancy. Medicamentous treatment can be tried with antibiotics but only if infectious cause is established.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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What Causes A Painful Enlarged Lymph Node In The Neck?

Hi, I had gone through your question and understand your concerns. Considering your description there is a reactively swollen neck lymph node which is commonly seen as a reaction on any infection in your body. Also, this may be benign lymph node growth such as lymphangioma. It is good that you have done tests Ct scan to rule out malignancy but I am not sure if you did ultrasound guided needle biopsy to verify exact pathology. I suggest to do this and if this is negative then you should consider surgical removal of the lymph node since if this presses surrounding tissue or causes discomfort then this is symptomatic and treatment is indicated even if this was not a malignancy. Medicamentous treatment can be tried with antibiotics but only if infectious cause is established. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.