If you have had a lump on your neck for
more than a year, it is possible that it
is a swollen lymph node or might be
identified as a tumor. You'll have to
have it examined closely. Swollen lymph
nodes can be caused by inflammation or a
lymph tumor.
Inflammation can be acute or chronic. In
your case, an acute inflammation seems out
of question because you have experienced
the lump for more than a year. Chronic
inflammation (specific or non-specific)
has to be investigated. Tuberculosis might
also be another possible explanation.
Tuberculosis is a specific, chronic
inflammation.
Lymph tumors can be secondary (metastasis)
or primary. Primary lymph tumors are
classified as Hodgkin or Non-Hodgkin
lymphomas.
The lump requires a needle punition for
cytological examination. Surgical removal
and a pathological examination can be
performed afterward, if necessary.
You provided a small part of your blood
laboratory analyses. A differential blood
picture analysis is of little conclusive
value without knowing the absolute amounts
for neutrophils, lymphocytes and
monocytes. Blood sedimentation and body
temperature are also very important for
making conclusions about your “fever”.
HIV-testing might be also considered in
your case.
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