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What do lumps in neck indicate? - Online Doctor Chats

Date : 22-Dec-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor:How may I help you?
User:I need help with interpreting a medical report
User:patient is a 43 year old female. Doctor noted lumps in the neck. requested Fine needle aspiration test
Doctor:please go ahead
User:test was negative, but they have asked for biopsy to be done to rule out lymphoma
User:which email can i mail the medical report to?
Doctor:You can mail it to YYYY@YYYY
User:ok, will do right away. Can you give me feedback on this chat itself?
Doctor:yes I will, once I receive the mail
User:I have sent it. Pls let me know when you get ti
User:get it
Doctor:I have seen you the report
Doctor:I have seen the report
Doctor:and I feel it is best to follow the advise of the treating doctors
User:what do you think is the issue
Doctor:a biopsy will be the right action
Doctor:right now the report is inconclusive
User:why do you think so? can you explain pls
Doctor:The report is not very clear
Doctor:because the FNAC sample was not a good sample
User:can you get me access to an oncologist pls
User:why is it not a good sample? i am not clear...
Doctor:I am sorry, we don't have specialists available for chat
Doctor:it is not a good sample because there was much blood in the sample
Doctor:ideally the sample should have very little blood
User:is oncologist available for a phone chat or email discussion?
User:what are immunoblasts?
User:the last line in the report...
Doctor:Immunoblasts are immature white blood cells
User:in the view of eosnophils & immunoblasts...
Doctor:Yes, if you let me complete, I will tell you
User:what does it mean?
Doctor:It means, the tissue from which the FNAC was done, shows immature white blood cells
Doctor:and eosinophils(another type of white blood cells)
Doctor:eisinophils will not be present in the lymph nodes generally
Doctor:that is why the doubt
Doctor:they have suggested a biopsy to make things clear
Doctor:so that they don't miss if it is a cancer
Doctor:So please follow the advice of your treating doctors
Doctor:and get the biopsy done to find out the exact nature of the problem
Doctor:The next step depends on the final biopsy report
User:what is the probability that it may be malignant?
Doctor:Can't say
Doctor:it can turn out to be nothing significant
Doctor:but it can also be a lymphoma
Doctor:i said the report is inconclusive precisely because of that reason
User:ok. i understand.
User:they have said biopsy will take 5 days
User:as in.. to get the report, it will take 5 days
User:is that normal?
Doctor:biopsy report takes a minimum 5 days
Doctor:there is a long process of sample processing and fixing before it can be studied under the microscope
Doctor:so 5 days is the time
User:who is the best doctor for such issues in bangalore?
User:do you have any suggestions?
Doctor:I am sorry, I do not have any favorite doctors for such issues
User:which hospital is good?
Doctor:but you can go to one of the reputed hospitals
Doctor:or teaching hospitals
Doctor:HCG is a specialist cancer center
User:ok thank you
Doctor:and KIDWAI Cancer institute is a government cancer hospital
Doctor:You can also go to St John's hospital
User:in mumbai?
Doctor:I don't know about Mumbai
User:where is Kidwai? Is it in bangalore?
Doctor:It is next to NIHANS
User:ok, how about mazumdar XXXXXXX cancer center?
Doctor:I do not know much about that
Doctor:is there anything else I can help you with?
Doctor:Are you there?
Doctor:Hello Mr. XXXXXXX
User:sorry, this is very helpful
User:thanks for all the advice
Doctor:you are welcome
User:i appreciate it
User:are you there?
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