Head and neck tumors
Hello Doctor: My mother recently had swollen lymph nodes in her neck, approximately two centimeters in size.
She underwent surgery for removal, and the biopsy results indicated a benign tumor caused by inflammation from tuberculosis bacteria.
I would like to ask what kind of treatment or follow-up is necessary after the surgical removal of the lymph nodes affected by tuberculosis bacteria?
Mr. Zhang, 20~29 year old female. Ask Date: 2016/03/18
Dr. Zheng Jueyi reply Otolaryngology
Hello: If the inflammation of the cervical lymph nodes is caused by Mycobacterium tuberculosis, you should consult an infectious disease specialist or a pulmonologist for examination and receive complete antibiotic treatment for tuberculosis.
Wishing you safety and health.
Director of the ENT Department, Taoyuan General Hospital, Ministry of Health and Welfare, Dr.
Cheng Jue-Yi.
Reply Date: 2016/03/18
More Info
Post-surgery care for tuberculosis-related neck lymph node tumors is an important aspect of managing the condition effectively. In your mother's case, where a lymph node was surgically removed and found to be benign but caused by tuberculosis, there are several considerations for follow-up treatment and monitoring.
Firstly, it is crucial to understand that tuberculosis (TB) can have systemic effects, and the presence of TB in lymph nodes indicates that the infection may not be limited to just that area. Therefore, after surgical removal of the affected lymph node, it is essential to ensure that the tuberculosis infection is adequately treated. This typically involves a course of anti-tuberculous medications, which may include a combination of drugs such as isoniazid, rifampicin, pyrazinamide, and ethambutol. The duration of treatment usually lasts for at least six months, depending on the extent of the disease and the patient's response to therapy.
Your mother should be referred to an infectious disease specialist or a pulmonologist who can evaluate her condition comprehensively and prescribe the appropriate anti-TB regimen. It is essential to complete the entire course of medication to prevent the recurrence of the infection and to reduce the risk of developing drug-resistant strains of tuberculosis.
In addition to medication, regular follow-up appointments are necessary to monitor her recovery and ensure that the infection is resolving. This may include periodic imaging studies, such as chest X-rays or CT scans, and laboratory tests to assess her overall health and the effectiveness of the treatment. Blood tests may also be performed to monitor liver function, as some anti-TB medications can affect liver health.
Moreover, it is important to educate your mother about the signs and symptoms of potential complications or recurrence of tuberculosis. She should be vigilant for any new symptoms, such as persistent fever, night sweats, unexplained weight loss, or any new swelling in the neck area. If any of these symptoms arise, she should seek medical attention promptly.
In terms of lifestyle modifications, maintaining a healthy diet, staying hydrated, and getting adequate rest can support her recovery. Additionally, if she has any underlying health conditions, such as diabetes or immunosuppression, these should be managed appropriately to enhance her overall health and resilience against infections.
Lastly, it is worth noting that while the surgical removal of the lymph node may have resolved the localized issue, the underlying tuberculosis infection must be treated to prevent further complications. Therefore, consistent follow-up care and adherence to the prescribed treatment plan are vital for your mother's health and well-being.
In summary, after surgery for tuberculosis-related neck lymph node tumors, your mother will need to undergo a complete course of anti-tuberculous therapy, regular follow-up appointments for monitoring, and education on recognizing potential complications. With appropriate care and treatment, she can achieve a full recovery and minimize the risk of recurrence.
Similar Q&A
Understanding Lymph Node Tuberculosis: Treatment and Concerns
I have some questions for the doctor. In early March of this year, I had swollen lymph nodes on the left side of my neck and went to the hospital for examination. A fine needle aspiration revealed the presence of pus, and it was determined to be a tuberculosis infection. After tw...
Dr. Xu Jiazhen reply Otolaryngology
Hello: The incidence of cervical lymphadenitis due to tuberculosis has been increasing year by year in developing countries. If your diagnosis is confirmed, it is essential to undergo treatment to avoid complications. First-line anti-tuberculosis medications may not always be eff...[Read More] Understanding Lymph Node Tuberculosis: Treatment and Concerns
Understanding Lymph Node Issues After Oral Cancer Surgery
Hello, doctor. In March of this year, I underwent surgery for early-stage oral cancer on my right cheek. Post-surgery, there were no significant issues. However, in August, I started experiencing unexplained night sweats and fever. In September, my right thigh began to swell, and...
Dr. Fan Sheng reply Oncology
A-Bao: Is a CT scan out-of-pocket? I suggest consulting the National Health Insurance Administration. For lymphatic issues, I recommend directly excising one for testing. Thank you![Read More] Understanding Lymph Node Issues After Oral Cancer Surgery
Understanding Lymph Node Tumors: Symptoms, Treatment, and Recovery Insights
Hello Doctor: My aunt noticed a round lump near her left neck, close to the lymph nodes, since mid-last year. By the end of last year, she began experiencing intermittent pain, but she was afraid to get it checked out due to the fear of receiving bad news. However, after encourag...
Dr. Lin Zongzhe reply Oncology
Hello: The treatment for lymphoma primarily involves chemotherapy, and depending on the condition, radiation therapy may sometimes be necessary. There is a chance for complete recovery, and it is not insignificant, so please cooperate closely with your physician's treatment ...[Read More] Understanding Lymph Node Tumors: Symptoms, Treatment, and Recovery Insights
Could My Lymph Node Issue Be Lymphoma or Metastatic Cancer?
Hello Dr. Fan: Three months ago, I discovered a lump above my right clavicle that has been growing larger and harder, approximately 4 centimeters. I consulted multiple specialists, but none could determine the cause, all stating it was normal. Eventually, a biopsy revealed suspec...
Dr. Fan Sheng reply Oncology
Dear Miss Chia-Chia: Lymph node tuberculosis does not always culture Mycobacterium tuberculosis, and the pathological biopsy results should be reliable. It is essential to take anti-tuberculosis medication for a sufficient duration to achieve recovery. Please collaborate with you...[Read More] Could My Lymph Node Issue Be Lymphoma or Metastatic Cancer?
Related FAQ
(Otolaryngology)
Cervical Lymph Nodes(Otolaryngology)
Lymphadenitis(Otolaryngology)
Laser Surgery(Otolaryngology)
Nasopharyngeal Carcinoma(Otolaryngology)
Acoustic Neuroma(Otolaryngology)
Neck Mass(Otolaryngology)
Cholesteatoma(Otolaryngology)
Thyroid(Otolaryngology)
Post-Thyroid Surgery(Surgery)