Left Cervical Lymphadenopathy

22 y/o male patient having Left cervical lymphadenopathy since last 8 months. Only one upper lymph node involved. No history of any fever, dore throat. Sometimes feels stiffness in neck. FNAC done in february showed AFB stain Negative USG NECK done in february showed a lymph node of 13.0× 3.5 mm in size in posterior aspect of left upper cervical region. Patient took antibiotics for 10 days in Dec 19 and for 7 days in Feb. Currently taking Augmentin 1g since last 11 days. What's your most probable diagnosis for this case? Chief Complaints Left Cervical Lymphadenopathy

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Single lymph node in the post chain of cervical lymph node. Earlier FNAC AFB culture negative , initially no history of fever or sore throat but usual causes of cervical single lymphadenopathy may be due to A orodental pathology and ENT pathology Tuberculous usually matted one Non specific reactionary pathology Malignancy primary and secondary metastasis Go for repeat of blood test, USG and FNAC if still the inconclusive Better to go for excision biopsy.

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As there is a single lymph node 13.0 × 3.5 mm in size on posterior left triangle of neck - A surgical excision biopsy should be done . Apparently it looks a reactive lymphadenitis which is generally cured after a course of antibiotics- but may recur again .. Excision biopsy will be the final diagnosis whether it is reactive , infective tubercular , metastatic or lymphoma

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Sug. Fnac.. send images to opine Cbnatt fna Ex bx

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Age of patient. Report of fnac

22 male
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