Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor, Currently I am suffering from a swalloen lymph node on right side of my neck for 1 month. It has grown rapidly in size in 4-5 days and remained in that position. I have taken azithromycin and methylprednisolone to decrease the swelling but it did not worked. Done ultrasound and it shows 3/3.5 centimeter large node. No other swelling in neck or throat. Thyroid is normal in ultrasound. But i the blood work thyroid was 6.83 ( TSH ) in the first test, and in the second test it was 3.07. Blood count is also normal. No weight loss in 1 month. Now i have been advised to take clindamycin hcl 300 mg capsules thrice a day. But from yesternight I am feeling feverish and body aches. Could you suggest if there is any posibilty of cancer in my body? I have also scheduled a CAT scan in coming tuesday. Please suggest as I am very worried about cancer and I am only 28 years old.
[|AI|]  3.5Cm enlarge node, unilateral is somewhat significant adenopathy. Head and neck Cancer with adenopathy neck may some time present with unknown primary disease. I should suggest that go for FNAC of node that gives exact clue whether it has spread cancer from some head and neck primary cancer. Also it gives clue whether it is due to some infective reactor changes. Squamous cell cancer is found 90% case if its cancer. I also suggest having direct laryngeal examination get done.