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Cervical lymphadenopathy answers (56)

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Q: 

  35 year old male.H/o of painless cervical and axillary lymphadenopathy.H/o lossof weight,fever,night sweating,cutaneousanergy.No hepatosplenomegaly.what isthe most probable diagnosis doctor?

A: Hi, painless cervical lymphadenopathy could be due to various lesions of head, neck and facial structures.Axillary lymphadenopathy could be due to breast or chest lesions. You said night sweating and absence ofhepatosplenomegaly point towards the tuberculosis which is commonest cause of cervical lymphadenopathy.Conventional non-invasive laboratory tests X Ray Chest could rule out most of the causes of lymphadenopathy.Invasive tests like ESR, Hemogram, Fine needle aspiration cytology; biopsy would give the definitive diagnosisto start the treatment as early as possible. I would recommend seeking physician to get the investigationsdone so as to...


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what does cervical adenopathy mean

A: Hello,cervical adenopathy is enlargement of the cervical lymph nodes, which are located on both sides of the neck.lymphadenopathy (swollen lymph nodes) is usually caused by a viral or bacterial infection. Other causesinclude allergic reactions, arthritis, cancer, metabolic diseases, and an overactive thyroid(hyperthyroidism). Hope it helps.Take care and regards....
Q: 

lymphadenopathy with thyroid nodules

A: Hello, Thank you for your question. Nodules in the thyroid as seen by CT scan can be malignant or benign there really is no way of telling for sure without more investigations. The Gold Standard is obtaining a histology. Another option is a FNA from the nodules after excluding thyrotoxicosis as that seems to get confused with follicular carcinoma (false positive). A cold nodule on thyroid scan is also more concerning. Obviously you are concerned about the presence of lymph nodes in the neck and whether they indicate a spread from a possible malignancy in the thyroid. That is always a legitimate concern depending on the nature of the presentation and examination. Many things come into play here - the longer duration of onset of these lymph nodes favors a more benign condition. The size of...


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Seemingly generalized painful lymphadenopathy

A: Hello, Generalized lymphadenopathy is always a puzzling entity. The presence of fever may suggest an infectious cause or lymphoma. The presence of rash may suggest an infectious or autoimmune process. We tend to request a full blood count to exclude hematological causes. A lymph node biopsy is needed if the picture is suggestive of lymphoma. Essentially 5 broad etiologic categories lead to lymph node enlargement (Ghirardelli, 1999). An immune response to infective agents (eg, bacteria, virus, fungus) Inflammatory cells in infections involving the lymph node Infiltration of neoplastic cells carried to the node by lymphatic or blood circulation (metastasis) Localized neoplastic proliferation of lymphocytes or macrophages (eg, leukemia, lymphoma) Infiltration of...


Q: 

lymphadenopathy or normal size?

A: Hi, You may want to check on our cervical lymph node page. Click here! This page has a section about supraclavicular lymph node enlargement. Following infection, lymph nodes occasionally remain permanently enlarged, though they should be non-tender, small (less the 1 cm), have a rubbery consistency and none of the characteristics described for malignancy or for infection. These are also known as ''Shotty Lymph nodes''. Nodes are generally considered to be normal if they are up to 1 cm in diameter. Another point to take into consideration: In the primary care settings, patients 40 years of age and older with unexplained lymphadenopathy have about a 4 percent risk of cancer versus a 0.4 percent risk in patients younger than age 40. ...


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Posterior cervical lymph node

A: Hello Brian871, The posterior cervical lymph nodes extend in a line posterior to the sternocleidomastoid muscles but in front of the trapezius, from the level of the mastoid bone to the clavicle (on the side of the neck near the back). They drain the scalp and neck, skin of arms and pectorals, thorax, cervical and axillary nodes. Abnormal lymph node enlargement tends to commonly result from infection / immune response, cancer and less commonly due to infiltration of macrophages filled with metabolite deposits (eg, storage disorders). Infected Lymph nodes tend to be firm, tender, enlarged and warm. Inflammation can spread to the overlying skin, causing it to appear reddened. Lymph nodes harboring malignant disease tend to be firm,...


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supraclavicular lymphadenopathy hx thyroid cancer

A: Dear blueribbon, I understand your fears; at the same time I assume that your physician as well is aware by your medical history. So, according to the informations taken from your posts, you probably have left supraclavicular and or lower cervical Lymph node (LN) enlargements. You also have mentioned that the supraclavicular node is easily felt and is increasing in size. The thyroid scan and investigations checking for thyroid recurrence or metastases were negative. But this does not exclude further investigation for these enlarged LNS. A conventional US study with or without Doppler can help in confirmation of their nature. US guided FNAC can also be done for the pathological diagnosis. Regarding the breast swelling, is it felt at same side where the LNS are...


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Hi,i''m zainab from Pakistan..my mother is suffering in cervical Cancer since 2003. we operated her but now in 2008 it appear again with wide spread in the body..now my mother is becoming so weak day by day she does not eat anything if she eat somthing she vommit that instantly...we r not doing any kind of treatment ..i''m much worried about her health and life ... please if someone can help me in this regard i''ll be really very thank full to his or her...her teast reports r as under...CPT :ULTRASOUND ABDOMENREPORT:No focal hepatic abnormality or biliary dilation is appreciable. there is para-aortic and iliac lymphadenopathy besides few enlarged lymph nodes at porta hepatic region. the largest lymph nodal mass at upper left para-aortic region is extending upto the hilum,this measures around 8.9cm at its widest dimension and 7cm lenght wise. this has resulted in moderate left sided hydronephrosis. the right kidney, gallbladder, pancreas and spleen are normal. no ascites.CONCLUSION:Extensive abdominal lymphadenopathy,wuth left sided hydronephrosis...TUMOR MARKSSPECIMEN:SERUMCA-125(OM-MA) 3469.000CT SCAN REPORTArea exam:CT HEAD ,NECK, CHEST, ABDOMEN & PELVISHISTORY:Known post op case of Ca Overy.DISCUSSION:10 mm axial slice reconstructed on 1mm acquired,show:multiple discrete lymph nodes noted at and below the level of bifurcation of left common carotid artery largest measuring 1.6x1.2cm at left lower cervical region.multiple lymph node noted below the left sternocledomastoid muscle at the region of carotid sheath largest measuring1.5x1.9cm.a largeheterogeneously enhansing3.9x1.9x3.5cm lymph nodal mass is noted latest lateral to the left thyroidal lobe abutting and compressing the internal jugular vein and pushing the common carotid artery and left lobe of thyroid anteriorly.multiple enlarged lymph nodes discrete and matted noted in left supra clavicular fossa,largest matted mass measuring 2x1.8cm and also multiple collateral vessels noted in supra clavicular fossa.discretely enlarged lymph nodes also noted in the right cervical area in vicinity of carotid sheath.two small lymph nodes of insignifican size noted in pretracheal region.mattes lymph nodal mass encasing the aorta and compressing its lumen main bulk being on left side which appears to be compressing and encasing the left renal vessels..peri renal fascia are thickend on left side and show marked stranding in the fat of peri nephric spaces with multiple tortuous blood vessels most likely collaterels for the compensation of the hampered blood flow in left renal vessels. on right side multiple enlarged lymph nodes are noted in retro caval, precaval,para caval and retro crural areas.an irregular peripherally enhansing mass with central exudative density lymph nodal mass abscess measuring 3.4x4.8x7cm noted in left iliac fossa just posterior to left psoas muscle and involving the left iliac muscle extending upward in the posterior of left psoas muscle.rest of abdominal visceras are unmarkable.no ascites.ground glass appearance noted in the basal region of both lung fields.degenerative changes noted in the visualizes spine.CONCLUSION:Wide spraed lymphadenopathy in the neck abdomen and pelvis----Metastatic diesease......i''ll be waithing for ur reply..please do let me know wat kind of treatment wil given to her to save her life ...tahnk you..urs sincerely,Zainab...

A: cervical Cancer - I found this information on cervical cancer for you. Best wishes to you and your mom. dear zainab,my name is amar.and we live in islamabd.my mother has recently been diagnosed with the same disease.she is 45yrs.i want to talk to you in detail regarding this issue.plz contact me onjust_4_u35@hotmail.com...


Q: 

hello there. phenominal website by the way. my 60 year old mom''s recent PET CT scan report came back. she has recurrent breast cancer. she had a mastectomy 2 years ago. she found a mass under her collarbone 1 month ago, hence the PET CT scan. sections of it indicates ''left pectoral/chest wall consistent with recurrence'',''2 lung nodules consistent with recurrence'', ''metastatic lymphadenopathy is present'', ''increased uptakes in: the fat of the posterior cervical neck and the supraclavicular regions, the right humeral head and right rib, and sclerotic focus in the left femoral neck.These may represent benign etiologies versus metastases. A bone scan is suggested for further evaluation.'' what does that mean exactly? she has evidence of metastates because she has 5 positive lymph nodes, has 2 tiny nodules in her lungs, and of course the small lump under her collar bone which we were told is recurrent. aside from these, does it mean possibly no further spreading? is that why they recommend a bone scan?her oncologist isn''t saying surgery for the mass under her collarbone and has prescribed xaloda for 5 months. my mom wants the lump surgically removed meanwhile. we heard lungs and already we fear her time is limited. should we be so worried about funerals and such at this time. thanks for any advice you can give in advance. sincerely.

A: so there is concern that she has growing disease in her bones, thus the comment about the increased uptake in certain bones. her situation sounds very concerning... not favorable i''m afraid....
 
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