Where to start. Back in August my wife (42 y/o) woke up with a golf ball on the upper right side of her neck. Ultimately ended up with a US, which showed a 3.1cm x 2cm x2cm hypoechoic mass. Differential was complex cyst vs neoplasm vs lympadenopathy. ENT order a FNA. radiologist extracted white opaque fluid, and said it was benign right when she pulled the stuff out. We were thrilled. The lump went away after the fluid was extracted. Later that day the cytology report came in " Atypical squamous cells with a background of acute inflammation, branchial cyst vs Squamous cell mets lymph node. She followed up with ENT who said we could also do a CT scan, but since the lump went down we didnt. 2 weeks ago, she came down with a mild/ normal upper respiratory cold, and sure enough the thing starts coming back. ENT sends for CT scan. Results " In the right jugulodigastric chain there is a solid/cystic lesion measuring appx 2 x 2 x 3.5 cm. The cystic portion measures roughly 1.5 x 1.8 x 1.7 cm. No surrounding inflammatio or edema is seen. The lesion is separate from the Parotid gland. the rest of the CT scan was unremarkable. Impression: Solid/ cystic lesion suggesting prominent lymph node with cystic component. Differential includes metastatic lymph node vs type 2 branchial cleft cyst." N

Now we have a US guided core biopsy scheduled this coming Monday. Figured Id start here as if its cancer it looks like it would come from the oropharyngeal region. Shes never smoked or drank. Which I know doesnt matter much it seems. The other thing is she was born via Csection and both of us have never had any type of sexual relatins of any kind with anybody else (weve been together since late teens. Just scared, frustrated that after all these tests we keep ending up with nothing definitive. We both just want it cut out and sent in, but alas here we are.