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Had CT Scan for lymph nodes. What does it show?

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General & Family Physician
Practicing since : 2010
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A ct scan shows a 1.5 cm short axis dimension irregular soft tissue density adjacent to the left external iliac vessels compatible with enlarged lymph node. I have SLL/CLL ... recent dx. What is significance of: size, location, irregular?
Posted Fri, 11 Oct 2013 in Cancer
Answered by Dr. Manjeth Kumar G 2 hours later
Brief Answer:
Number of groups is important than location and siz

Detailed Answer:

Welcome to XXXXXXX

For SLL/CLL, two classifications are used for staging of cancer.
1. Binet Staging.

Stage A:
Fewer than three areas of enlarged lymphoid tissue (lymphnodes)

Stage B:
Three or more areas of enlarged lymphoid tissue

Stage C:
No lymphnode enlaregement but with anemia and decreased platelets.

Prognosis is better for Stage A than Stage C.

2. XXXXXXX classification
XXXXXXX stage 0 :
Low risk
Lymphocytosis : A high lymphocyte count defined as more than 15,000 lymphocytes per cubic millimeter (> 15,000 / mm3).
XXXXXXX stage I :
Intermediate risk
lymphocytosis + lymphadenopathy ( enlarged lymph nodes).
XXXXXXX stage II :
Patients are also intermediate risk
Lymphocytosis plus an enlarged liver (hepatomegaly) or enlarged spleen (splenomegaly), with or without lymphadenopathy (enlarged lymphnode).
Patients are high-risk
Lymphocytosis plus anaemia with or without lymphadenopathy, hepatomegaly, or splenomegaly.
XXXXXXX stage IV :
Lymphocytosis + thrombocytopenia (< 100 - 103 /dL).

Lymphadenopathy -in the neck, axillary, inguinal as well as the splenic involvement, are each considered as "one group," whether unilateral (one-sided) or bilateral (on both sides).
Number of group involvement is more important than location of involvement in CLL/SLL.
Thus in SLL/CLL anemia, platelet count, lymphocyte count are also important in establishing the prognosis of the disease.

Hope this helps.
Please reply for further queries.
Wishing you good health.
Above answer was peer-reviewed by
Follow-up: Had CT Scan for lymph nodes. What does it show? 30 minutes later
So ... I have enlarged lymph nodes: submandibular, neck, axillary, chest, abdomen. I am IB?
Answered by Dr. Manjeth Kumar G 8 minutes later
Brief Answer:
Yes, Consider lymphocytosis, anemia, platelets

Detailed Answer:
Yes, you are in the Stage B of Binet staging and Stage 1 of XXXXXXX classification of CLL/SLL.
Consider your status in anemia, lymphocyte count and platelet count of blood investigations for final staging.

Hope this helps.
Please reply for further queries.
Wishing you good health.
Above answer was peer-reviewed by
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