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Forum Name: Lymphoma

Question: reactive hyperplastic axillary nodes


 nank05@earthlink.net - Tue Dec 30, 2008 10:28 am

I had a pet scan in October after my gp found an enlarged lymph node in my neck back in showed
August 2008, because of prior history, i.e. thyroid cancer. Three nodes showed
mild uptake then had FNA biopsy in December that showed reactive hyperplastic
nodes, left axillary. They want to do a followup ultrasound in May. Does this
sound right. Could this be lymphoma?
 Dr. Tamer Fouad - Mon Jan 05, 2009 12:03 pm

User avatar Hello,

Many things are taken into consideration when evaluating an axillary lymph node especially in a female of your age and with a family history of breast cancer.

The size of the lymph nodes may or may not be suggestive of reactive lymphadenopathy versus a malignant process. The ultrasound findings of the lymph nodes may also be suggestive.

A FNA is not always very accurate in the evaluation of a lymph gland, when used in combination with radiological and clinical findings it may be a little more accurate.

I understand that you have suggested lymphoma because you are concerned that this may be a generalized lymphadenopathy. Many diseases such as systemic infections with a mild virus, and various autoimmune diseases can lead to systemic lymphadenopathy among other things.

Again, depending on the severity of your symptoms and the size of the lymph nodes this could warrant further investigation versus observation.

Best regards,
 nank05@earthlink.net - Mon Jan 05, 2009 6:34 pm

Thank you Dr Fourd, for taking the time to reply to my post. They have ruled out
breast cancer with mammogram and ultrasound. I have not been ill for quite
some time,actually, many, many months except in early August when I had a fever
for two days but I had no other symptoms with that fever. I have had very significant fatigue for at least four months. The nodes that showed up on the pet scan were 1cm. Thank you, again.

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