Friday, February 8, 2008

SWELLING IN THE NECK-II


Another type of swelling in the neck can be lymphnode swelling due to tuberculosis. This is firm to touch and non tender. Sometimes tubercular lymphnode can be soft to touch and on aspiration shows pus, then this is called cold abscess. Diagnosis is generally made by FNAC and rarely on excision biopsy of lymph node. Sometimes the swelling starts discharging by itself or after incision given to drain it by somebody and can lead to a discharging sinus. Treatment is by anti tubercular therapy.

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