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What Causes Painful Neck Lump When Diagnosed With Stage I NHL And MZL?

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Posted on Thu, 29 Oct 2015
Question: She was diagnosed with stage 1 NHL, MARGINAL LYMPHOMA.
she had no signs of cancer in her last 2 check ups.
suddenly, she had a lump on her neck overnight, with pain in head/ear(of one side of head) and neck.
She is feeling very uneasy and is on her way to vellore and will be there by Saturday morning.
We are very worried.She will go in to emergency as the pain is lot.
We got the earliest appointment in vellore on 13th october.
That will be too late for her, hence she will get into emergency this Saturday morning,
Dr, we want to check with you, if that is the right option or not.
In emergency, does someone from hematology come and attend.
Her history of diagnosis has been very complex.
Please guide us as to wht to do.
Is this a relapse.All the pain in in head and neck, she has 2 more days of travel till she gets in to emergency.Will it surgery.
Is this a minor infection of node(as it happened overnight) or a replapse
She has now started to feel better.but pain is still there on neck.
Will painkillers and antibiotic be good for now or they will evaluate her with FNAC,BOIPSY?
doctor
Answered by Dr. Deepak Sundriyal (2 hours later)
Brief Answer:
it does not look like relapse

Detailed Answer:
Hello dear.
Clinically it does not look relapse.
Emergency treatment will be only for pain relief and antibiotics.
Relapse can only be said with certainty after biopsy.
Ideal time for biopsy will be atleast after 1 week of antibiotics if swelling does not subsides.
Thanks and regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1632 Questions

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What Causes Painful Neck Lump When Diagnosed With Stage I NHL And MZL?

Brief Answer: it does not look like relapse Detailed Answer: Hello dear. Clinically it does not look relapse. Emergency treatment will be only for pain relief and antibiotics. Relapse can only be said with certainty after biopsy. Ideal time for biopsy will be atleast after 1 week of antibiotics if swelling does not subsides. Thanks and regards