<human>: Sir, Doctor has identified lymph nodes tuberculosis but they are unable to confirm that it is malignant or not. they have tried fine needle aspiration cytology, but they could not get good results. Doctor wants to do biopsy. Is Biopsy the right method. Can doctors do biopsy if there is heart issue or not?
<bot>: Hi & Welcome. I appreciate your concern for the suspected TB of the lymph nodes. Incomplete data: Age, gender, symptoms like fever, weight loss, cough, sweating etc. and their duration. Lab tests like Chest X-ray, ESR, Sputum for AFB, etc. Yes, the diagnosis is confirmed by the biopsy of the lymph node. It can be done safely in patients with heart disease at it is done under local anesthesia. The treatment of TB lymph nodes involves the use of multiple medications for at least 6 months. In the first 2 months of the course (Initial phase): 4 Antibiotics (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) are given. In the remaining 4 months of the course (Continuation phase):2 Antibiotics (Isoniazid & Rifampicin) are given. This treatment is very effective in the eradication of the infection. Hope to have answered your query.