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What Does My Ultrasound Scan Test Report Indicate?
Question: I had an ultrasound on the soft tissue of my neck which revealed a prominent, 2.2 cm x .7 cm submandibular lymph node with normal homogeneous overall morphology. This node has been sore. The GP characterized as firm. I have no other symptoms of illness. What are these symptoms most indicative of and what can I expect with my ENT follow up?
Brief Answer:
Firm Submandibular Node?Under Investigation
Detailed Answer:
Provisional Impression-Firm Submandibular Node?Under Investigation
Provisional Impression-Firm Submandibular Node?Under Investigation
Hi,Welcome with your query to My Virtual HCM Clinic.
Upon Reviewing the details of the query,I think more information is required as follows to reply your query with best possible suggestions-
When did you notice the lump first?Was it accompanied by any cold/febrile/soar throat/dental pain/gingivitis attack in the past or lately in near past?
How long this soar lymph node is present?
As per your query submission ,you don't have any thyroid or other symptoms of illness now.
What is your history of any past major / minor illnesses.?
Any family history of thyroid cancer /or any lymphoma?
Update any information of the previous medical reports/doctors advise notes.
Update any lab blood tests reports done currently or done in the past.
Awaiting the above information for better study and planing of your further treatment of submandibular lymph node.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.
Firm Submandibular Node?Under Investigation
Detailed Answer:
Provisional Impression-Firm Submandibular Node?Under Investigation
Provisional Impression-Firm Submandibular Node?Under Investigation
Hi,Welcome with your query to My Virtual HCM Clinic.
Upon Reviewing the details of the query,I think more information is required as follows to reply your query with best possible suggestions-
When did you notice the lump first?Was it accompanied by any cold/febrile/soar throat/dental pain/gingivitis attack in the past or lately in near past?
How long this soar lymph node is present?
As per your query submission ,you don't have any thyroid or other symptoms of illness now.
What is your history of any past major / minor illnesses.?
Any family history of thyroid cancer /or any lymphoma?
Update any information of the previous medical reports/doctors advise notes.
Update any lab blood tests reports done currently or done in the past.
Awaiting the above information for better study and planing of your further treatment of submandibular lymph node.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Thank you for your reply.
I noticed the lump approximately 6 weeks ago. It was sore at times, but I decided to wait before having it checked, knowing that it could just be a minor illness, though I was not feeling sick. I saw my GP after I noticed a little facial edema on the same side as the lymph node. This seems to have dissipiated now though. The lymph node was not originally accompanied by any illness or dental issues, but I have had a minor sore throat for about a week now.
I have no history of thyroid cancer or lymphoma, however, my father died from lung cancer. My sister is a breast cancer survivor. I am an ex-smoker. Quit 18 months ago after about 20 years on/off smoking.
In the past year I have had no major illnesses. I may have had a cold here and there.
Otherwise, I am in excellent health. BP 95/65; pulse 64. total cholesterol a little high, but HDL at 69. Blood sugar normal. BMI just under 25. Active 60 min a day/6 days a week, which includes running about 15 miles a week.
Thank you
I noticed the lump approximately 6 weeks ago. It was sore at times, but I decided to wait before having it checked, knowing that it could just be a minor illness, though I was not feeling sick. I saw my GP after I noticed a little facial edema on the same side as the lymph node. This seems to have dissipiated now though. The lymph node was not originally accompanied by any illness or dental issues, but I have had a minor sore throat for about a week now.
I have no history of thyroid cancer or lymphoma, however, my father died from lung cancer. My sister is a breast cancer survivor. I am an ex-smoker. Quit 18 months ago after about 20 years on/off smoking.
In the past year I have had no major illnesses. I may have had a cold here and there.
Otherwise, I am in excellent health. BP 95/65; pulse 64. total cholesterol a little high, but HDL at 69. Blood sugar normal. BMI just under 25. Active 60 min a day/6 days a week, which includes running about 15 miles a week.
Thank you
Brief Answer:
Acute on chronic Tonsillitis, with 2 sub-mandibular lymphadenitis
Detailed Answer:
Provisional Impression-Submandibular Lymphadenitis of Unknown Origin/Under Investigation.
Final Impression(After the last updates)
-Acute on chronic Tonsillitis,
with 2-Soar submandibular lymphadenitis, due to last weeks cold attack
Hi,Thanks for the updates.
I reviewed your query in the context of your last updates.
Here are replies for your 2 of the queries as follows-
Q-1-What are these symptoms most indicative of ?
In my opinion,you seem to have acute on chronic Tonsillitis,which is strongly supported by your 18/20 yrs of smoking history.
The sore submandibular nodes-suggest that you had it due to the
recent cold attacks.It appears that it is the soreness of this lymph node which increased your worry in the background of Cancer history with your sister(Breast Cancer survivor),and your father -lung cancer.
The Firm feel of the node-as opined by your GP,confirms it is of chronic duration ,but which you noticed it since 6 wks back incidantly.A soft node could have been there if it occured after the last soar throat attack,1 week back.
Q-2-and what can I expect with my ENT follow up?
-You need not worry about the Cancer reports from the ENT Surgeon's next follow up.
Your USG has already confirmed the homogenous nature of the 2 submandibular Lymphnodes.
As you are worried about these 2 lumps to be ?Cancer or not?I would suggest you to ask for FNAC biopsy with Histo-Pathological Report,which would confirm the absence of Cancer in your 2 submandibular nodes.
ENT Surgeon may advise EXCISION Biopsy,for which you can have the option of the FNAC Biopsy.
So ENT visit would be mostly Uneventful,in this background and Ent Surgeon's follow up visit may declare your 2 neck nodes as NORMAL.
Suggestion-
Don't worry about the 2 neck submandibular nodes.
Your next ENT Surgeon's Follow Up visit is going to be non-eventful,with declaration of your 2 neck nodes as NORMAL.
Hope this reply would help you to plan your treatment with your ENT surgeon's next Follow Up Visit.
Hope this reply would satisfy you from worrisome query and anxiety caused with it for last 2 months or so.
Welcome any further query in this regard,which I would love to attend to your satisfaction,before I close this query at My end.
Will appreciate your writing strong review comments to help /benefit needy patient visitors like you at the HCM clinic.
Wishing you healthy future life.
Good Day!!
Regards
Dr.Savaskar M.N. XXXXXXX Surgeical Specialist.
M.S.Genl-CVTS.
Acute on chronic Tonsillitis, with 2 sub-mandibular lymphadenitis
Detailed Answer:
Provisional Impression-Submandibular Lymphadenitis of Unknown Origin/Under Investigation.
Final Impression(After the last updates)
-Acute on chronic Tonsillitis,
with 2-Soar submandibular lymphadenitis, due to last weeks cold attack
Hi,Thanks for the updates.
I reviewed your query in the context of your last updates.
Here are replies for your 2 of the queries as follows-
Q-1-What are these symptoms most indicative of ?
In my opinion,you seem to have acute on chronic Tonsillitis,which is strongly supported by your 18/20 yrs of smoking history.
The sore submandibular nodes-suggest that you had it due to the
recent cold attacks.It appears that it is the soreness of this lymph node which increased your worry in the background of Cancer history with your sister(Breast Cancer survivor),and your father -lung cancer.
The Firm feel of the node-as opined by your GP,confirms it is of chronic duration ,but which you noticed it since 6 wks back incidantly.A soft node could have been there if it occured after the last soar throat attack,1 week back.
Q-2-and what can I expect with my ENT follow up?
-You need not worry about the Cancer reports from the ENT Surgeon's next follow up.
Your USG has already confirmed the homogenous nature of the 2 submandibular Lymphnodes.
As you are worried about these 2 lumps to be ?Cancer or not?I would suggest you to ask for FNAC biopsy with Histo-Pathological Report,which would confirm the absence of Cancer in your 2 submandibular nodes.
ENT Surgeon may advise EXCISION Biopsy,for which you can have the option of the FNAC Biopsy.
So ENT visit would be mostly Uneventful,in this background and Ent Surgeon's follow up visit may declare your 2 neck nodes as NORMAL.
Suggestion-
Don't worry about the 2 neck submandibular nodes.
Your next ENT Surgeon's Follow Up visit is going to be non-eventful,with declaration of your 2 neck nodes as NORMAL.
Hope this reply would help you to plan your treatment with your ENT surgeon's next Follow Up Visit.
Hope this reply would satisfy you from worrisome query and anxiety caused with it for last 2 months or so.
Welcome any further query in this regard,which I would love to attend to your satisfaction,before I close this query at My end.
Will appreciate your writing strong review comments to help /benefit needy patient visitors like you at the HCM clinic.
Wishing you healthy future life.
Good Day!!
Regards
Dr.Savaskar M.N. XXXXXXX Surgeical Specialist.
M.S.Genl-CVTS.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Thank you. I will update you with the results from the ENT tomorrow before closing this inquiry.
Brief Answer:
My pleasure!!Welcome!!
Detailed Answer:
Hi,
Thanks.My pleasure to attend on your ENT updates.
Welcome!!
My pleasure!!Welcome!!
Detailed Answer:
Hi,
Thanks.My pleasure to attend on your ENT updates.
Welcome!!
Above answer was peer-reviewed by :
Dr. Sonia Raina
The ENT used a scope to examine my throat more closely. He did not diagnose any tonsillitis, but did order a biopsy.
Brief Answer:
Submandibular Lymph Adenitis?post Soar Throat attack/Under Investigation
Detailed Answer:
Impression-Submandibular Lymph Adenitis?post Soar Throat attack/Under Investigation by Biopsy
Hi,Thanks for the update of your ENT visit.
In context of my last reply,ENT surgeon has rightly ordered a Biopsy of the Submandibular nodes.
Please keep me updated on Biopsy report for further suggestions and medical help to you.
Welcome any further query in this regard,which I would love to attend to your satisfaction,before I close this query at My end.
Will appreciate your writing strong review comments to help /benefit needy patient visitors like you at the HCM clinic.
Wishing you healthy future life.
Good Day!!
Regards
Dr.Savaskar M.N. XXXXXXX Surgeical Specialist.
M.S.Genl-CVTS.
Submandibular Lymph Adenitis?post Soar Throat attack/Under Investigation
Detailed Answer:
Impression-Submandibular Lymph Adenitis?post Soar Throat attack/Under Investigation by Biopsy
Hi,Thanks for the update of your ENT visit.
In context of my last reply,ENT surgeon has rightly ordered a Biopsy of the Submandibular nodes.
Please keep me updated on Biopsy report for further suggestions and medical help to you.
Welcome any further query in this regard,which I would love to attend to your satisfaction,before I close this query at My end.
Will appreciate your writing strong review comments to help /benefit needy patient visitors like you at the HCM clinic.
Wishing you healthy future life.
Good Day!!
Regards
Dr.Savaskar M.N. XXXXXXX Surgeical Specialist.
M.S.Genl-CVTS.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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