Doctor insights on:
Is Cervical Lymph Node Tuberculosis Contagious
Mycobacterium tuberculosis is an infectious organism that spreads by droplets coughed out by an infected person. Infection is established initially in lungs, but can spread within lungs & to other body parts, or can become latent, with reactivation occurring years to decades later. With effective treatment, it can be completely eliminated although drug resistant ...Read more
Scrofula: Scrofula, or TB lymphadenitis, is not contagious. However, anyone with this diagnosis should also have additional medical workup to be sure there is no pulmonary TB (infection in the lungs) which is contagious. TB lymphadenitis is quite treatable, but it is important that tissue from the lymph nodes is sent for culture and susceptibility testing to be sure standard treatment is appropriate. ...Read more
Hello doc, one of my friend is suffering from MDR lymph node tuberculosis. Reports of sputum are negative. So is this condition contagious? Pls help.
TB: Generally speaking, TB would be spread in the sputum via coughing and to a lesser extent breathing. So I would not see this as contagious if there are no organisms noted in the sputum. That being said, everyone and anyone should probably wear a mask around him as an extra later of precaution. ...Read more
Neck pain: You will need to see your regular doctor to see what will be best to control your pain, as you are taking a few medications for pain control already. Ultimately, the reason for the painful cervical lymph nodes needs to be determined and treated. ...Read more
Ultrasonography itself cannot distinguish benign from malignant lesions, but an
echographic appearance suggests malignancy and helps in the selection of the node to aspirate with
ultrasonographically guided fnab, which is crucial for a final diagnosis.
You need to have the node sampled with a needle to know if it is benign or otherwise. Talk to your physician. ...Read more
He has an enlarge posterior cervical lymph node (only one node) it's about 2cm in size & tender. He had a comme cold last week. He's smoker.
In fact be from your SCALP! Just a thought!
Check it out!
Dr Z ...Read more
Bilateral, anterior and posterior cervical lymph node enlargement (all about 1cm or less). No symptoms should I be concerned? Present for over 7 months.
Get it checked out: Lymph node swelling can be due to infection or inflamation. Please see your doctor to have them evaluated and blood work done. 7 months is a long time. ...Read more
FNAC cervical lymph node showing paucicellular smear showing blood only.... What is the meaning of this?
It sounds: Like the sample was not sufficient for diagnostic purposes, although nothing abnormal was present, a repeat biopsy may be indicated. Talk to your doc about next steps. ...Read more
Uncommon: Most enlarged lymph nodes are due to a response to an infection such as a viral or bacterial infection. The exception would be a drug rash called "serum sickness" where there is fever, swollen lymph nodes, hive-like rash and joint symptoms. Other more serious causes can result in swollen lymph nodes such as tumors like lymphoma. ...Read more
Echo character: Tells very little. It is usually used to aid in finding the node to perform an aspiration. Hypechoic zone can indicate solid or fluid filled space. Size would help, but only cells, and in lymphoma, perhaps an excisional biopsy and test for gene re-arrangements would help. ...Read more
Hello, would would it be appropiate to see a hematologist if I believe there might be a problem with the superficial cervical lymph node?
Yes: It would be appropriate to see a hematologist. However, you may wish to consult your primary care provider first. ...Read more
What does an eccentric hilum for a 2.2cmx1.2cm cervical lymph node with. 5cm hypogenic area inside indicate? Lymphoma or just reactive node?
Impossible to tell: If this is the only area. Your doctor may elect to follow this. But if there are other areas or there are clinical issues. They may elect for a biopsy to determine the clinical importance. ...Read more
I had a cervical lymph node biopsy today. It is 3cm and not growing over 6 months. It is very hard. Is it possible to be benign and very hard?
Possible: The size and firmness of the lymph node are concerning for cancer, but some infections, such as tuberculosis, can present similarly. The pathologist will need to examine the cells under the microscope and may need a couple days to do special staining to give you a complete answer. ...Read more
For almost six months I have had both anterior and posterior cervical lymph node enlargement. All are about 1.0 CM or less. Should I be concerned?
Probably not: Reactive lymph nodes are very common. We start to get excited about them when they're over 1 1/2 to 2 cm in size. In the absence of any other significant symptoms these lymph nodes are probably nothing to worry about. If they do concern you, however, it is a good idea to discuss the matter with your primary care doctor. ...Read more
What would cause a cervical lymph node to lose it's central fatty hilum and lack central vascularity?
Homework?: This sound like a homework assignment. I don't think you will get an answer here- so start reading up right now for the exam. ...Read more
26 yo m with pea sized supraclavicular lymph node - may be posterior cervical lymph node, can't tell. It is mobile and not too firm. Should I freak?
Lymphadenitis is characterized by tender and enlarged lymph nodes that are soft in consistency. This usually signifies the presence of a localized infection.
Rec. : see your pcp for comprehensive exam and source of infection. ...Read more
Lymph node enlargement on cervical lymph node grew from 2mm to 9mm in one month beginning to cause pain?
Have a small <1cm cervical lymph node with what feels like a pinhead sized bump attached. Cause for concern? Thank you.
Lymphadenopathy: With nodes less than 1 cm, we are typically not concerned. If the node is enlarging or becoming painful, I would suggest you see your physician. ...Read more
Had a core needle bx of enlarged cervical lymph node. Nurse said path report said "no gross abnormalities", but dr wants to remove node anyway. Why?
Possible for an enlarged deep cervical lymph node to grow over 6 months due to Mono? Or unlikely to cause enlarged (and slightly growing) that long?
See your PCP: Lymph nodes can get enlarged for a few reasons, and some of which are benign and possibly a result of an infection. Enlarged neck nodes do however need to be properly examined in addition to any other symptoms like night sweats, fevers, and weight loss. This requires a proper workup by your primary care provider. I recommend you make an appointment as soon as possible. ...Read more
Follicular hyperplasia with active germinal centre and sinus histiocytosis. Level 2 cervical lymph node 2.1 x 0.9 x 0.5cm. What are the causes?
Nothing of concern: This is a benign biopsy of your lymph node. The reported changes are of no consequence. Although it is not possible to be certain about what caused these changes, infection/s in the throat (which are very common in healthy adults) is the most likely cause. ...Read more
I have a Cervical lymph node that seems to kinda flat but enlarged. Not hard or soft. About. 5cm-.9cm size variation. Had for over year now.
I have an enlarged cervical lymph node that measures 1.75x2.0 in. It is also hard and somewhat painful should I get it checked out or wait.?
Lymph Node Swelling: Greetings. An enlarged lymph node should be evaluated and treated. In my practice, I would treat you with an antibiotic. After 14 days, the node should have shrunk in size. If it was still enlarging, then an image guided biopsy would be ordered. The sooner you are evaluated, the sooner you are treated. Good Luck. ...Read more
Cervical Lymph node gets smaller and feels bigger other times. When "small" its about. 3cm-.5cm. When it feels "bigger" about. 5cm-.7cm. Any concern?
No concern for a: Node that small. Don't keep touching it-you will irritate it and it will get larger and inflamed. Just watch it. ...Read more
I have a supraclavicular and posterior cervical lymph node up since early december I then found 5 in groin and hard immovablelump in lower sacrum? Help
Need diagnosis biops: You need a diagnosis and you may need to have a biopsy. We think of infections, tumors, sarcoid to name a few You need an immediate evaluation, perhaps a biopsy to clarify the diagnosis. ...Read more
Well defined, 1.2cm solid hypoechoic cervical lymph node with eccentric fatty hilum duration of 5 months. History of cardiac paraganglioma. Is it cbt?
Probably not: Paraganglioma are uncommon tumors of the paraganglia system, used to control blood oxygen levels. Cardiac paraganglia are very rare. The lymph node you describe is only slightly enlarged, and so is unlikely to represent metastatic disease. A scintigraphy (sestamibi or fdg) study is better able to detect metastatic disease. ...Read more
22 yr F. Palpable bilat submand. Lymph nodes 5 mo. Mobile, grape like ~1cm now cervical lymph node too. Hx of chr. Rhinitis. CBC good initial Ix? DDx?
Leave them alone: Almost all young adults have a few such lymph nodes. You've got a chronic ear-nose-throat infection in any case. Malignant nodes are obviously abnormal. Go on with your life. Best wishes. ...Read more