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Is enlarged lymphnodes in the abdomen dangerous? - Online Doctor Chats

Date : 22-Dec-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Welcome back
User:ok thanks
Doctor:how can I help you?
User:i have another report that i want to share
User:same patient
Doctor:sure go ahead
User:that report was taken yesterday
User:i just sent it
Doctor:okay will see and get back
Doctor:I have seen the reports
Doctor:and the clinical notes
Doctor:after this the suspicion of lymphoma is high
Doctor:There are enlarged lymphnodes in the abdomen
Doctor:and there are multiple enlarged lymphnodes, some measuring up to 3 cm in the neck
Doctor:You should go ahead with the biopsy as soon as possible
Doctor:After that, the doctors might suggest some more tests like CT scan of the abdomen and chest
Doctor:and some bone marrow aspiration tests
Doctor:are you there?
User:i am reading your comments
User:what is the purpose of ct scan
Doctor:CT scan will identify the lymphnodes in the abdomen very accurately
Doctor:and will help in deciding the best treatment
Doctor:it will help in making a decision about whether surgery is needed or not
Doctor:is there anything else I can help you with?
User:yes i would like to know something else too
Doctor:go ahead
User:is this being detected early?
Doctor:I don't think so
User:so what is the treatment then?
Doctor:There are multiple lymphnodes and some of them are quite big
Doctor:Chemotherapy is the mainstay of treatment for lymphomas
Doctor:I would suggest you to get the biopsy done first
User:what is the success rate at this stage?
Doctor:confirm the disease
Doctor:We can't stage the disease right now
User:yes i understand
Doctor:you need to get the biopsy done first
Doctor:and then CT scan
Doctor:we can tell the stage only after that
Doctor:Please discuss with the oncologist
Doctor:and follow his/her advice
User:will any other condition cause lymphnodes at multiple sites?
Doctor:I am sure he/she will explain it to you in detail
Doctor:Tuberculosis can cause enlarged lymphnodes in multiple places
Doctor:but they can be easily identified on a clinical examination
Doctor:So I don't think it is tuberculosis, because, the doctor who examined has not considered it a possibility
Doctor:and all other cancers can also cause enlarged lymphnodes
User:can it be an streptococcal infection?
Doctor:that is why I am advising you to get the biopsy done
Doctor:streptococcal infection will not cause lymphnode enlargement to such degree
User:is there anything else that we need to know.. this is for my sisterinlaw
Doctor:Right now, I have told you enough
Doctor:please get the biopsy done
Doctor:and then discuss with the treating doctor about treatment and further testing
User:sure, will do
User:one last qn
User:what causes lymphoma
Doctor:Lymphoma is a cancer
Doctor:and cancers in general are multifactorial
Doctor:meaning, there is no single cause, but many causes
Doctor:including smoking, genetic mutations
Doctor:exposure to radiation
Doctor:anything else?
User:considering her lifestyle, smoking is not a cause certainly
Doctor:Radiation means, exposure to X-rays
Doctor:or any other ionizing raditions
Doctor:Ultraviolet rays
Doctor:is there anything else?
User:what is genetic mutation?
Doctor:Genetic mutation means DNA damage
Doctor:anything else?
User:what can cause DNA damage?
Doctor:The damage can be from before birth, that is the sperm and ovum have DNA
Doctor:and that DNA can get damaged due to UV rays from the sun
Doctor:or smoking
Doctor:or any other cause
Doctor:or the DNA damage can happen after birth
Doctor:as we grow older, the capacity to repair damaged DNA goes on decreasing
Doctor:and it is a natural ageing process
User:ok i understand, that is why risk of cancer goes up as we grow old?
User:how can we prevent?
Doctor:and when the mutations occur in some specific places, they can cause cancers
User:will vitamins help?
Doctor:Vitamins like Vitamin E, Vitamin A are helpful
Doctor:Even Vitamin C is also helpful\
Doctor:but there is no guarantee that you will not get these mutations
User:yes i understand
Doctor:Is there anything else I can help you
User:no thats it
User:you've been of great help!
Doctor:You are welcome
Doctor:thanks for chatting
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