What does neck lumps imply?
Patient: Hi Dr. Good afternoon, I am a survivor of Squmousa cell carcinoma of the tongue two years back.  Recently there are two neck lumps visible and MRI scans confirms the enlargements.  Is it a sign of metastates??? What should I do further to confirm it? Doctor: Welcome to Health care magic.1. Possibilities of metastases can not be ruled out ( in your case) with out an FNAC - fine needle aspiration cytology of an enlarged lymph nodes.2.Generally lymph nodal enlargement is seen after local or systemic, infection or inflammatory cause. And ease off after treatment.3.You have done MRI - it would have given you the status of the old treated tongue malignancy. A computer tomography with contrast will help to see the status of previous malignancy.4.Get an ultrasound abdomen done - to see the status of liver and abdominal lymph nodal enlargement.5.Get an FNAC of lymph node for confirmation and treatment to commence. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.