instruction: hi doctor I have enlarged lymph node on the neck fac says granulomatous lymphadenitis consistent with koch afb stain negative in ultrasound it is hypoechoic lesion of approximately 29 34 my abutting the left submandibular gland but appear separate from it similar lesion of approx 14 23 my is seen adjacent to this mass I have been taking rifampicin isoniazid rifampicin ethambutol pyearazinamide for days and I have also consulted another doctor who says that it needs surgery and asked for digital ray of chest I also gained weight please suggest me should I go for surgery currently I am on forecox 150 mycobutol 400 benadon 20 my and neurobion
output: hi I can understand your concern according to your statement you have been suffering from to lymphadenitis and taking 4fdc antitubercular drugs for the last days your query is whether surgery is needed for your lymph node or not antitubercular medications are enough for curing to lymphadenitis surgery is needed in rare cases surgery can be done for diagnostic purposes or therapeutic purposes sometimes fine needle aspiration or biopsy of the lymph node are needed for proper diagnosis of to lymphadenitis is known as surgery for diagnostic purposes if to regiment for months or months or months are failed to subside the lymph node then surgery is an option again during to treatment if there is any change in size shape or presence of discharging sinuses or turn into malignancy then surgical drainage or removal of lymph node may be needed otherwise antitubercular medications are enough to treat to lymphadenitis your physician has advised you to do a car chest ray for the detection of chest involvement you should undergo car again prednisolone 40 my day for six weeks followed by gradual tapering over the next four weeks along with your current to regiment are enough to cure your to lymphadenitis without any surgery