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Have Slow Growing, Painless Hard Lump On Cervical Lymph Node With Neck Pain. Suspect To Be Costochondritis. Advise?

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Posted on Thu, 10 Oct 2013
Question: I have a slow growing, painless hard lump on a posterior cervical lymph node (right side) accompanied by severe neck pain - and now I have what I think is costochondritis (very painful and tender area on rib cage that radiates under left breast). Do I have cause for concern?
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Answered by Dr. Dr. Praveen Tayal (53 minutes later)
Brief Answer:
Needs investigations for diagnosis.

Detailed Answer:
Hello,
Thanks for posting your query.
The painless hard lump in the neck could be a swollen lymph node and cause pressure on the adjoining tissues causing a neck pain. Since it is a hard swelling, it must be investigated to find out the cause.
For this, a FNAB (fine needle aspiration biopsy) of the lymph nodes and swollen glands is the best test. FNAB is aspiration of the material of the glands which is done by a fine gauge needle (22 or 25 gauge) and a syringe. This will confirm the diagnosis as swollen neck glands are often caused by an infection, allergic reactions, cancer or metabolic diseases.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Have Slow Growing, Painless Hard Lump On Cervical Lymph Node With Neck Pain. Suspect To Be Costochondritis. Advise?

Brief Answer:
Needs investigations for diagnosis.

Detailed Answer:
Hello,
Thanks for posting your query.
The painless hard lump in the neck could be a swollen lymph node and cause pressure on the adjoining tissues causing a neck pain. Since it is a hard swelling, it must be investigated to find out the cause.
For this, a FNAB (fine needle aspiration biopsy) of the lymph nodes and swollen glands is the best test. FNAB is aspiration of the material of the glands which is done by a fine gauge needle (22 or 25 gauge) and a syringe. This will confirm the diagnosis as swollen neck glands are often caused by an infection, allergic reactions, cancer or metabolic diseases.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.