Diagnostic dilemma in bilateral multiple cervical lymphadenopathy.

Patient presenting with cervical lymph node enlargement is common in Otorhinolaryngology out-patient department of different hospitals of India. In many cases it becomes difficult to know the cause of lymphadenopathy without doing a battery of investigations. Often on fine needle aspiration cytology, lymph node in the neck is found to be metastatic, but site of prinary tumour becomes difficult to find out. Here a case in presented with multiple bilateral cervical lymphadenopathy with a diagnostic dilemma where the diagnosis changed repetitively from one doctor to another and from one laboratory to another.