FNAC (fine-needle aspiration cytology) is a diagnostic procedure used to test the tissues and cells present in abnormal tissue growth. Here, a hollow needle is inserted into the mass and cells are collected for testing. These cells are examined under the microscope after staining.

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Does periampullary carcinoma require a PET scan for treatment?

Query: Hi doctor,A patient has abdomen pain and vomiting with fever one month back. She was admitted to the hospital and came back home. Again last week, she had pain, and a lot of tests were performed. In which her FNAC reports showed cancer. Based on these reports, we require what should be the following...  Read Full »

Dr. Satyajit Jalinder Pawar

Answer: Hello, Welcome to icliniq.com. I have gone through your query and reports provided (attachments are removed to protect the patient's report). Based on this, my final analysis is periampullary carcinoma, biopsy papillary tubular neoplasm, and MRCP CT (magnetic resonance cholangiopancreatograph...  Read Full »

Is chronic granulomatous lymphadenitis a serious disorder?

Query: Hi doctor, I have swelling in the throat for the last three months that increase in size and feeling pain when I touch. I am taking antibiotics for infection. The report of the sample taken from the throat says chronic granulomatous lymphadenitis. I want to ask about this disease's seriousness. Wha...  Read Full »

Dr. Satyajit Jalinder Pawar

Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I have looked at the reports you have provided (attachments removed to protect the patient's identity). The FNAC (fine needle aspiration cytology) shows chronic granulomatous lymphadenitis, suggestive of Koch's pathology. This mean...  Read Full »

My X-ray shows nodules in my right lung. Does it indicate cancer?

Query: Hi doctor, I have a persistent cough with phlegm, chest pain, exhaustion after a short duration and nodules in the right lung. The x-ray revealed that signs of atelectasis are present. After using three different types of medicine and steroid inhaler, the symptoms are still present. The most recent...  Read Full »

Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. You have not mentioned the CT scan report that you had done. The x-rays are showing nodules; hence, it might be pneumonic consolidations that should be considered first rather than directly thinking about malignancy. Sputum cytology and examination study should be done i...  Read Full »

Is it possible to detect a cancerous lesion with an HRCT?

Query: Hello doctor, My mother had COVID-19 before a month and 10 days. We did CT 11 days ago to be on the safer side, and the report is attached herewith. It looks like a terrifying report. Her oxygen level is around 95 to 96 %. There is no cough and breathing issue as of now, just on and off fever. Plea...  Read Full »

Dr. Zubayeralam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, your mother is suffering from fever now and then, and she was COVID positive a month and 10 days ago. However, her recent HRCT (high resolution-computed tomography) of the chest report (attachment removed to ...  Read Full »

I have pain in my penis with a scar. What is the cause?

Query: Hi doctor, After testing positive for celiac disease, I had an EGD and biopsy three weeks ago. The pathology report stated that I had marked acute and chronic inflammation with severe reactive epithelial changes including villus blunting and gastric metaplasia. I was negative for H. pylori as I was ...  Read Full »

Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. Here according to your history, you were positive for gluten disease. So, you might have done tissue transglutaminase antibody testing. It is very sensitive for that and then, a biopsy for confirmation. In histopathology report, villous blunting present but intra-epithel...  Read Full »

Are salivary gland tumors of serious concern?

Query: Hi doctor, My biopsy report reads like this. Please comment. Sections examined show a tumor composed of oncocytic cells arranged in cribriform, cystic, and papillary architecture. Comedonecrosis is present within the cysts. Most of the tumor in the biopsies is in situ. Immunohistochemistry was att...  Read Full »

Dr. Utkarsh Sharma

Answer: Hi, Welcome to icliniq.com. I have read the description of the biopsy you have provided and will help you regarding it. I must emphasize that before commenting on anything, I must know the site (organ) of the biopsy performed that you have not mentioned. Similar descriptions may have different int...  Read Full »

What could a mass on kidney be?

Query: Hello doctor, I am a 55-year-old man who had a partial nephrectomy three years back. A 7 cm x 8 cm mass was removed without a biopsy. It was found to be papillary renal cell carcinoma (PRCC). There was no further trouble until the previous year when a 1.4 cm mass has been detected near the same kid...  Read Full »

Dr. Ankush Jairath

Answer: Hello, Welcome to icliniq.com. Fine needle aspiration cytology needs to be done to determine the nature of mass (whether neoplastic or benign). There is no need to worry about the spread of tumors due to manipulation of biopsy as these tumors do not spread via that, so no need to be afraid of biop...  Read Full »

I have a soft bump behind my ear for a year. Is it infection or cancer?

Query: Hi doctor, I have a soft bump behind my left ear and that is about 1.5 cm wide and 2.5 cm long. It has been there for about a year now and in the last four months or so it has become sore. I have photos of it too if that will help. I am wondering what it might be. I thought it would just go away, bu...  Read Full »

Dr. Prakash H Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: It appears to be a lymph node. It usually indicates some surrounding area infection like scalp.  As it is painful, probably in response to infection. If i...  Read Full »

Can a benign mass on the thyroid cause throat pain?

Query: Hi doctor, Occasionally, I have a dry cough and a tickle in the throat on the right side of the neck to my ears. My MRI showed a mass on the right side of the thyroid. I have done a fine needle aspiration. The result showed a benign soft tissue mass. It was taken before three months. Now I have a...  Read Full »

Dr. Pruthvi Raju Uppalapati

Answer: Hi, Welcome to icliniq.com. I understand your concern. Regarding neck swelling, there is no evidence of malignancy and so there is nothing to be worried. As your blood thyroid levels are normal without medications, then there is nothing to be worried. Cough and throat pain does not occur due to ne...  Read Full »

Should I get an HIV test for swollen lymph nodes under my arms?

Query: Hello doctor,Around six months ago, I had oral intercourse with a male. He did not ejaculate in my mouth, but there was precum in my mouth. Two weeks later, I started getting abdominal pain, muscle cramps, and fatigue. I was told by a professional not to get an HIV test done as it was extremely low ...  Read Full »

Dr. Zubayeralam

Answer: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from swollen glands underneath your arms with rashes. You had oral sexual intercourse six months ago. And you assume there is there may any link between your present sufferings with th...  Read Full »

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