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Cancer

Question
Posted by: Barbara | 2020/08/20

Q.

Left submandibular

es, I had an U/S of my salivary glands - Results: In the left submandibular region superiorly, there is a hypoechoic nodule measuring 1.5 x 1.4 .1.4 cm which corresponds with the CT identified nodule. This appears to lie superior to the gland and may represent an enlarged lymph node. There is an inferiorly adjacent lymph node measuring 0.8 x 0.5 x 1.1 cm with a preserved fatty hilum. Indeterminant hypoechoic 1.5 cm nodule along the superior aspect of the left submandibular gland which may represent an abnormal lymph node. Further evaluation with tissue sampling is recommended. An attempt at FNA can be perforated, although this may be challenging due to its superior position. 1.5 cm submandibular nodule - with history of dental implant surgeries - removals and bone placements Chiswick Chiswick 4 hours ago I originally went to ENT doctor as a follow up to a dental gum boil infection I had on the right rear mandible of jaw - that’s why I had ct scan and the submandibular node was incidentally discovered on the left - we also did thyroid ultrasound on same day for f/u of benign thyroid nodules which are stable after 7 years and biopsy at that time also was no malignancy detected. I just don’t want unnecessary surgery. ENT prescribed 7 days of clindimycin and the boil started to drain and clear and said no more antibiotics needed - however on follow-up with my dentist he prescribed levoquin for 10 days which did the trick. They both thought that somehow I got infected from the novacaine needle during an implant removal that caused a swollen gland on the right. Never noticed the submandibular node on left or had any symptoms from it. My dentist says that my EMT is being overly cautious. Recent CT and Ultrasound results: In the left submandibular region superiorly, there is a hypoechoic nodule measuring 1.5 x 1.4 .1.4 cm which correspond with the CT idetified nodule. This appears to lie superior to the gland and may represent an enlarged lymph node. There is an inferiorly adjacent lymph node measuring 0.8 x 0.5 x 1.1 cm with a preserved fatty hilum. Indeterminant hypoechoic 1.5 cm nodule along the superior aspect of the left submandibular gland which may represent an abnormal lymph node. Further evaluation with tissue sampling is recommended. An attempt at FNA can be performed, although this may be challenging due to its superior position. My dentist prescribed levoquin for 10 days since the boil was still draining and it has cleared up nicely. ENT has

Expert's Reply

A.

Cancer expert
- 2020/08/25

Dear Barbara

Thank you for the detailed information. You, however, did not pose any question. Having read your message, it would appear that you are in good hands and that everything is under control. You are advised to stick to the advice of your treating physician as well as your dentist. (MCH).

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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