Question: I am a 31 year old female and I have had cervical lymphadenopathy for about 2 months now and now have tender swollen nodes in the groin a well. CT of neck showed a supraclavicular node and others present but within normal limits. It also showed a focal aneurysmal dilation of the left internal jugular vein. I just had a biopsy done on tonsils..both removed, as well as places on posterior tongue. Report states right base of tongue: two pieces of polypoid tissue lined by nonkeratinizing squamous epithelium, submucosa shows increase amount of fibroblasts and capillaries consistent with reactive changes. Right piriform sinus shows polypoid lymphoepithelial with a well developed lymphoid follicle under the squamous epithelium. Right tonsil shows tissue with well developed lymphoid follicles showing germinal centers and well defined mantel zones. Some crypts markedly dilated and filled with filamentous bacterial colonies (Actinomyces). No evidence of malignancy but a mucocele found in a peritonsillar minor salivary gland. Left tonsil shows the same as right only with stromal fibrosis. Please tell me what to do from here. Do I need a lymph node biopsy? Please help!!

Would like to also add that this started as redness andninflammationnon one side of throat...particularly the anterior and posterior pillars on right side. Then inflammation started on left side as well...then all over mouth. Had little nodules or polyps come up by tonsils & back of tongue as well as on alveolar mucosa. Little capillaries are red and inflamed. I have good oral hygiene. None of my dr's know what is going on. Please help! I have now been on an antibiotic, antifungal, steroid, antiviral with no change.