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What Causes A Bump On My Neck Near My Upper Cervical Region?
Question: hello Dr,
I have a bump on my neck for 10 months, which is very small. it's near to my upper cervical region.
I did a CT of neck, the impression came back normal but they said something about "shotty bilateral lymphedopathy"
(report attached)
I met my primary physician and he said, lymph node is not significantly enlarged. at the same time he said the report is not so clear about "shotty bilateral lymphedopathy"
I would appreciate if anyone can explain me about the report.
note: lymph node enlarged after hair follices, no change since beginning
I have a bump on my neck for 10 months, which is very small. it's near to my upper cervical region.
I did a CT of neck, the impression came back normal but they said something about "shotty bilateral lymphedopathy"
(report attached)
I met my primary physician and he said, lymph node is not significantly enlarged. at the same time he said the report is not so clear about "shotty bilateral lymphedopathy"
I would appreciate if anyone can explain me about the report.
note: lymph node enlarged after hair follices, no change since beginning
Brief Answer:
Fine needle aspiration of the lymph node
Detailed Answer:
Hello and thank you for asking HCM.
I have read your Ct report and i will explain why your physician said that the report is not so clear.
Please follow me step by step because I don't want you to take me wrong.
I will explain what the term shotty lympadenopathy means (in general,not in your case): A clustering of multiple small, contiguous and indurated lymph nodes which is palpable. In small children it means viral infection most of the times. In adults it is not a good term. In adults it might be due to syphilis or metastatic CA.
Here is the part that the report is not clear. The radiologist has written : "shotty bilateral lymphadenopathy" however none pathalogically enlarged.
If you write the term "shotty" it means a bad thing,as i mentioned you before. Also if you write "lymphadenopathy" it means that there is a problem with the lymph nodes.
Now If there is a problem with the lymph nodes, there size is increased, usually over 1 cm or even more. It doesn't have so much sense writing lymphadenopathy and than lymph nodes not enlarged pathologically.
Now lets get back at your situation. You have these lymph nodes from 10 months. It doesn't always mean a bad thing. There are a lot of times,when lymph nodes are present like in your case and every thing is normal.
If i was your caring doctor i would recommend one of these 2 options:
1-A CT of your thorax and abdomen. Just to be sure that there is nothing wrong. (less possible)
2-A Fine needle aspiration of the lymph node (more possible this exam) just to be sure that you are fine.It is worth doing a FNA as the results might shift your lifestyle choices and/or require further investigation.... or show nothing significant at all.
For my opinion, this CT is normal, since lymph nodes are not enlarged,everything is fine.
If you have any other question,feel free to contact me.
Wishing at you good health.
Dr.Endri Katro
Fine needle aspiration of the lymph node
Detailed Answer:
Hello and thank you for asking HCM.
I have read your Ct report and i will explain why your physician said that the report is not so clear.
Please follow me step by step because I don't want you to take me wrong.
I will explain what the term shotty lympadenopathy means (in general,not in your case): A clustering of multiple small, contiguous and indurated lymph nodes which is palpable. In small children it means viral infection most of the times. In adults it is not a good term. In adults it might be due to syphilis or metastatic CA.
Here is the part that the report is not clear. The radiologist has written : "shotty bilateral lymphadenopathy" however none pathalogically enlarged.
If you write the term "shotty" it means a bad thing,as i mentioned you before. Also if you write "lymphadenopathy" it means that there is a problem with the lymph nodes.
Now If there is a problem with the lymph nodes, there size is increased, usually over 1 cm or even more. It doesn't have so much sense writing lymphadenopathy and than lymph nodes not enlarged pathologically.
Now lets get back at your situation. You have these lymph nodes from 10 months. It doesn't always mean a bad thing. There are a lot of times,when lymph nodes are present like in your case and every thing is normal.
If i was your caring doctor i would recommend one of these 2 options:
1-A CT of your thorax and abdomen. Just to be sure that there is nothing wrong. (less possible)
2-A Fine needle aspiration of the lymph node (more possible this exam) just to be sure that you are fine.It is worth doing a FNA as the results might shift your lifestyle choices and/or require further investigation.... or show nothing significant at all.
For my opinion, this CT is normal, since lymph nodes are not enlarged,everything is fine.
If you have any other question,feel free to contact me.
Wishing at you good health.
Dr.Endri Katro
Above answer was peer-reviewed by :
Dr. Prasad
thanks for your detail answer.
Brief Answer:
Wishing you good health
Detailed Answer:
You are welcome.
For any question,feel free to contact me.
Dr.Endri Katro
Wishing you good health
Detailed Answer:
You are welcome.
For any question,feel free to contact me.
Dr.Endri Katro
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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