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Multiple lymphnodes on body with past history of breast cancer - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   swollen lymph nodes all over the body
Doctor :   Hi
Doctor :  
How can I help you?
User :   I have some nodes from 1 to 4 cm in diameter, Blood tests are Ok.
Doctor :   Ok
Doctor :  
May I know your age and gender?
Doctor :  
Since when have you noticed these nodules?
User :   I had a mastectomy 6 years ago but he says it has no connection to it I am 71 female since 2004 they were much smaller I can say they enlarge 1 mm per month
Doctor :   Has the doctor diagnosed these nodules as lymphnode swellings or you presume it to be lymphnode swellings?
User :   They have been diagnosed thru CAT scan, echo
Doctor :   Ok
Doctor :  
Do you have any other symptoms like
Doctor :  
recurrent fever?
Doctor :  
Weight loss?
Doctor :  
Loss of appetite?
Doctor :  
Are you there?
User :   e-mail: YYYY@YYYY Age: 70 UPPER ABDOMEN ECHOGRAM FINDINGS: Size, shape, contour, consistency, within normal, physiological limits, from the examination of liver, pancreas, spleen, kidneys and large vessels. Gall bladder of normal edge, with soundless content (absence of stones). Bladder duct presents normal width (3,9 mm) Numerous swollen/ enlarged lymph nodes/glands, around pancreas, close to the gate of liver and aorta, mesenteric, and iliac (especially on the right) with a diameter 11mm to 29,6 mm. X-Ray Specialist XXXXXXXX Varvoutas
Doctor :  
These questions are relevant in understandings the nature of your problem.
Doctor :  
Do you have any of the symptoms of recurrent fever, loss of appetite, loss of weight?
User :   No fever No weight loss No loss of appetite
Doctor :  
Doctor :  
Do you have diabetes/hypertension?
User :   No diabetes No hypertension
Doctor :  
Do you smoke/consume alcohol?
User :   None
Doctor :   What was the cause for which mastectomy was done?
Doctor :   I shall explain it to you.
User :   I had cancer on the right breast
Doctor :  
The cause for multiple lymphnodes are either due to infection secondary to reduced immunity or secondary to lymphnode metastasis.
Doctor :   So either of this would be the cause.
User :   What is the treatment
Doctor :  
A biopsy of a lymphnode will determine what the cause would be.
Doctor :  
The treatment depends on the cause.
Doctor :  
So my suggestions are
User :   An estimate of the therapy. Medication?
Doctor :  
1. You may need a biopsy of the lymphnode to know what the cause for swollen lymphnode is.
Doctor :  
2. Check for sugar levels
User :   No such elevated marks
Doctor :  
3. Immunity levels need to be checked, by getting the blood test, HIV and so on.
Doctor :  
The treatment then would depend on what the cause is.
User :   HIV was negative
Doctor :   Ok.
Doctor :   Then I would advise you to discuss the option of getting a biopsy of the lymphnode.
User :   If there is nothing else you want to ask?
Doctor :   Yes, this history is sufficient,
Doctor :  
My suggestions is to get an biopsy of the lymphnode
Doctor :  
either through a ultrasound guided or CT scan guided
Doctor :  
Doctor :  
The cost of this procedure varies among different regions and locations.
Doctor :   It should be a little more expensive then the cost for the ultrasound test or a CT scan test.
Doctor :  
A biopsy would give a clear picture of what the cause would be.
Doctor :  
And then the treatment can be decided based on these reports.
Question is related to
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