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Asking for Other, Male, 6 years old, Anterior Neck
My 6 year old son has a neck lump for 1 year, We had done a surgery (Thyroglosal-Duct-Cyst) in Oct-19 to remove it, but the lump appeared again, it is off mid line right side of the neck, Later on, a doctor advised us that it is not thyroglossal-cyst, Over the course of 1 year, we have done FNAC, MRI, CT Scan, Ultrasound and did the biopsy test after surgery which is also negative. But still it is not diagnosed yet. The last CT Scan report from Aznostics Diagnostics Centre suggest that it is an abnormal mass of size 2.3cm which is not separable from strap muscle and thyroid cartilage. But there is no definitive diagnosis of the condition. Following are some of the my observations: - The mass increases in size suddenly, it does not increase gradually. - When the mass increases in size, it turns red, and becomes painful. But normally it is not painfull - The mass reduces in size after taking iBrufen Syrup. - The mass is quite hard.
Getting some guidelines from this forum will
what did FNAC showed
ENT consult will help
Patient
Post Owner
Dear Dr Andrabi,
Can you please suggest ENT specialist in Neck Lumps in Lahore region as it is close to my location, we will definitely consult...
Thanks.
4 years ago
histopathology of sample from previous surgery?, FNAC results!
Get it examined. This can be a post operative collection or some lymph node.
It’s better to re-examine review all the radiological findings and may b go for re do surgery
The Thyroglossal cyst can recur if any portion of the track remains behind after surgery. You can consult a pediatric or head and neck surgeon for review. The previous surgeon may be having complete record and can guide you better.
Patient
Post Owner
Dear Dr Qureshi,
We have consulted Dr Mujeeb recently, he said there is nothing to worry about, you can leave it alone, and a doctor in the Diagnostic Centre said the same. If it is recurrance, how can we be sure that it will not recur after repeat surgery? The most worrying thing is that, the swelling increases in size and becomes painful sometimes if we leave it alone.
During Covid-19 epidemic, we are thinking not to go for any further diagnostics until we feel safe outside home. So, what care we can provide at home when swelling gets bigger and painful?
Many Thanks
4 years ago
MBBS, FCPS (Surgery), FICS (USA), FACS (USA), Diploma in Surgery | Islamabad | Book Appointment
As seen in photographs even if is simply but it is unsightly hence should be removed. But no emergency, you can show it when coronavirus issue in over InshaAllah . No specific treatment required during this period but look for signs of infection, redness pain or fever in which case you should consult early.
4 years ago
Patient
Post Owner
Dear Dr Mairam,
The FNAC was done before surgery on 1st- June 2019.
Microscopic examination of the aspirates reveal background of mucoid and colloid material. In this background there are few follicular cells, most of which show vacuolated cytoplasm, some histocytes,
Diagnosis : Throglossal Cyst
4 years ago