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Lymphoma and its symptoms - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Lymphoma
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
Doctor :   hi
Doctor :  
how can i help u?
User :   Hi. i am 20 years of age and i have been very very concered about lymphoma. i have been experiencing several symptoms such as chills ( that come and go), weight loss (around the neck and joints e.g wrist, elbows, knees, ankles) that i just getting worse , swollen lymph nodes in neck ,armpit and groin for almost a year now and a persistant sore throut that i have had for about 7 months that wont go away also i have been experiancing lower back pain, this is becoming more and more of a concerned on how unwell i am. I have had many different blood tests and other tests such as a endoscopy and colonoscopy to rule out any other problems but they all came back normal. also i have had a biopsy (lymph node removed) on a lymph node in my neck that also came back negitive but i wasnt convinced on the node that they took out as this wasnt the largest node that i have in my neck and was definetly not the one i was most concered about as i have one that seems to be matted to another one and harder then the one that was taken out, does there have to be a certain node that has to be taken out? also new lymph nodes keep poping up mostly in the neck that are not painfull. i am just wondering if i could still be looking at lymphoma or could this be to some other condition?
Doctor :  
ok
Doctor :  
give me one minute
User :   will do no worrys
Doctor :   can i ask u few questions?
Doctor :  
whats ur age?
User :   20
Doctor :  
ok
Doctor :  
from how many days u are having this problem?
Doctor :  
are u there?
User :   2 secs
Doctor :  
ok
User :   well i have had swollen lymph nodes in my neck for over a year and a half with no symptoms at first, then i started getting night ssweats that went away after about a week with chills
Doctor :  
excison biopsy report is negative?
User :   yes but it was on a node that was very small and i was never concered about the one that was taken out
Doctor :  
lymphomas are two types lilke hodgkins and nonhodgkins lymphoma
Doctor :  
which can be differentiated by biopsy and microscopy
Doctor :  
firstly who diagnosed it as lymphoma?
User :   not been diagnosed with it but i do have a node that is matted to another node that is atleast 3 cm large with other nodes around the area
Doctor :  
ok
Doctor :  
ok
Doctor :  
this may be secondaries
User :   i am losing alot of muscle mass with all of this
Doctor :  
where cancer from some other area will spread to the lymphnodes
Doctor :  
did they took any xray?ultrasound?
User :   yes an xray of the chest and ultrasound of the abdoman and having a ct scan of the abdoman soon
Doctor :   what is the result?
Doctor :  
type fast XXXXXXXX u are running out of time
User :   negitive for both but i feel that the ct scan may find some thing as i do have a swelling in my lower back
Doctor :   ohh ok

Doctor :  
do u have enlargment of abdomen
User :   do u think i should get a biopsy on the other node in my neck
User :   and no not in the abdomen
Doctor :   yes
Doctor :  
u get biopsy done once again
Doctor :  
biopsy will detect any canceruos cells
User :   cbc blood counts are all good do you think that this rules out luekemia
Doctor :  
what is the differential count?
User :   what do u mean by that sorry
Doctor :  
differential count of white blood cells
User :   7.9 expect this is normal
Doctor :   yes if cbc is fine almost 80 percent leukemia is ruled out
Doctor :  
but my main concern is
User :   well thats a bit of good news
Doctor :  
lymphoma or else secondaries from some other cancer
Doctor :  
yes
User :   i have a ct scan tomorrow will this help alot
Doctor :  
which can be ruled out by biopsy
Doctor :  
yes defnetly
Doctor :  
ct will help us to great extent
User :   thats good why would nothing have come up in the node they took out in the beginning? any possibiliters#
Doctor :   improper selection of lymph node
Doctor :  
or else improper technique
Doctor :  
some times not preparing the slide properly
User :   ok so get it done as soon as possible
Doctor :  
yes
Doctor :  
one headache will be reduced
Doctor :   if cancer is ruled out
Doctor :  
what is ur weight loss?
Doctor :  
how many kg?
Doctor :  
in how much time?
Doctor :  
do u have any cough?
User :   well i went for 11/5 to 10/4 then i went back up to 10/10 but my muscle mass is gone right down lower then ever befoe

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