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Dr. Andrew Rynne

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Exp 50 years

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I have had a lump in my neck for about 2 years

I have just recently been to the doctors, i have had a lump in my neck for about 2 years upon discovery of it. i went the the doctors and the hospital who both said it was fine, but it hasnt gone away. So i went again today, the doctor simply said he was going to take a blood test and sent me on my way, he didnt give me any idea to what it could be. i know it could be cancer and i am sick with worry that it is. i am 21 i have smoked for 4 years but recently quit. how likely is it that i have cancer, could it be anything else. i may just be a hypcondriac but i am soo worried about it i got sent home from work today!
Mon, 23 Apr 2012
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ENT Specialist 's  Response
Dear Harish Hello I am Dr Ravinder Sharma ENT surgeon. On the basisi of the info you have provided I will post my opinion --- I understand your concern about something serious as a cause of your neck swelling. I would advise to undergo a test FNAC - fine needle aspiration cytology for the neck swelling and a panendoscopy --- it comprises of nasal endoscopy, nasopharyngoscopy, laryngoscopy, bronchoscopy and oesophagoscopy. Even if there is slightest doubt all these investigations can actually tell you about the disease you are suffering from.

Its not that you are a hypochondriac. Your concerns are genuine and can be disturbing to anyone who is in your situation. A relatively non invasive test as compared to panendoscopy can be PET CT scan to look for the primary. If you have a cancer you get to know the extent of lesion and if it is not there you get a clear NO.

All these tests have some limittions and may miss very small lesions. But then in real world this is the best way to get an answer. You can increase the sensitivity of these tests by regular follow up and repeat test -- say every 3 months

I hope this answers your concerns Do let me know if I can help you futher about it. with regards

Ravinder Sharma
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  User's Response
Vishal Jain's  Response
hey...i too am experiencing the same problem from the last 6 months...but my doctor says that if its not increasing in size..its nothing to worry about...it may also be because of a skin infection like dermatitis...so i don't think u should worry much..keep your cool, everything is okay..
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