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Doctors Lounge - Oncology Answers
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| kmair
- Tue Oct 02, 2007 4:34 am |
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Hi
My daughter is 5 yrs old , she has alot of lymph nodes up in her neck and an enlarged tonsil, night sweats , weight loss , elevated white blood cell count suggestive of infection and slight anemia suggestive of dietary. She has been in to hospital and had her tonsils/adenoids removed they were sent to pathology the results came back "unremarkable on both". Since then she has a node which has popped up above her collar bone , she is tired though not excausted , very pale , her appetite is not as good as it was , her night sweats are still present and last night she woke up and came in to our room and when i asked her what was wrong the words she spoke did not make any sense this lasted for around 3 minutes.
The surgery was 4 weeks ago , my question is should i request any follow up tests , bloods etc or should i just agree the biopsy showed nothing so shes ok?
Please help ,
worried with a nagging feeling i cant get rid off Thankyou in advance
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| Dr. Chan Lowe
- Tue Oct 02, 2007 7:48 pm |
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 Hi Kmair,
Having a negative analysis of the tonsillar tissue is reassuring but not necessarily 100%. Overall, it does bring the chances of a cancer down significantly.
There are several other possibilities in addition to cancer that could be causing her symptoms. Some viruses, notably EBV and CMV, can do things like this. Also, some fungal infections, such as valley fever, histoplasmosis or tuberculosis can also produce these symptoms.
I would recommend your daughter be evaluated by her doctor and worked up further to find the cause of these symptoms. If no diagnosis can be made it may be necessary to do a small biopsy of one of her swollen lymph nodes to see what is going on there.
Best wishes.
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| kmair
- Wed Oct 03, 2007 5:26 am |
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hi thankyou for your swift reply ,
I should of mentioned she has had all tests for tubercolosis , ebv etc and all came back negative
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