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Forum Name: Lymphoma

Question: Question about ultrasound (spleen, liver and pelvis)


 labtechmom - Sat Oct 20, 2007 9:39 pm

Hi, I am a 32y old healthy female. Only history: appedix removal in 1984, 8 idiopathic miscarriages from 2000-2004, 2 normal pregancies, gallblader removal in 2006 (right after childbirth).

My recent symptoms: Tiredness, Itchy all over but worse in lower legs and face (more specifically along jawline). Feeling of fullness in groin area for about 9 weeks. Same feeling in armpits for about 4 weeks and 3 weeks ago acute pain on upper left abdomen witch made me call my doctor. Since then, early satiety and very nausiated.

My doctor did full examination plus lab work and x-ray + abdominal/pelvic ultrasound.

Chest X-ray: Normal

Blood work: ESR: Normal, CBC: Normal WBC, RBC and platelet. Hgb, MCV low. Smear review: presence of microcytes and megathrombocytes. Presence of few activated cells. TSH: Normal Renal profile: Normal Liver profile: ALP slightly elevated and LDH moderatly elevated.

Ultrasound: (Only writting abnormal findings)

Liver: Diffusely hyperechoic
Pancreas: Increased (diffusely)
Spleen: Length: 13.6 cm Width: 5.2 cm Depth: 11.0 cm Volume: 406.9 cc

Pelvis: Fluid in rigth adnexa and +++ follicles on left ovary.

My question is: Do I have "splenomegaly"? What, in your opinion, do you think I have based on symptoms and results?

Sorry but another question in mind is that my son is being followed by hemato-oncologist and one of the possibility is that he might have lymphoma. What are the chances we have the same thing. Could it be possible for a mother to give the disease to her unborn child if process already started??

My next app't is in a month.
 Dr. Chan Lowe - Thu Nov 08, 2007 8:34 pm

User avatar Hi Labtechmom,

Based on these ultrasound measurements I would say your spleen is very mildly enlarged. Many consider a spleen that measures greater than 11 cm at it's widest point to be enlarged and greater than 20 cm to be severely enlarged.

Your symptoms sound like you may have a diffuse infection such as can occur with ebstein barr virus (mononucleosis). Your symptoms do not sound particularly concerning for lymphoma.

Regarding your son, lymphoma is not a disease that would be passed on to the unborn child during pregnancy.

Follow up with your doctor is important.

Best wishes.

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