What Causes Enlarged Lymph Nodes Around Neck?
No cancer - this is idiopathic
Detailed Answer:
Hi XXXXXXX
Nice to see you again after Wed 3 Sept 2014.
Read the previous thread to.
Very happy to know that Biopsy showed no Lymphoma or Cancer; CT scan, PET scan and bone marrow biopsy were all benign. I can understand the plight of not getting a proper answer why the nodes still swelling on your neck.
The probable cause can be simply a reactive hyperplasia to some non-specific reaction, many times this can be due to eosinophilic infiltration as I have seen in my practice. Again the problem is o find out WHY ?? That is why this is called ''iodiopathic''. (Report: It is benign follicular hyperplasia of the lymph nodes.))
But to repeat, we have to be very happy that there is no cancer.
Now- about a the one on the left chest under the nipple area. There is no lymph node situated in this area or under the left shoulder blade. It may be a structure such as muscle mass infiltrated with inflammatory exhudate or so and can be picked up well with MRI if you tell the radiologist what your problem is.
Taking a Consultation of a Rheumatologist and / or Hematologist may give us a clue. I request you to take at least one opinion. This may help.
You may request for the following medicines while discussing with your treating Doctor/s:::
-Once a day anti-inflammatory with pain killer property like - Diclofenac SR (Sustained Release), as these need to be taken once a day, relieving your trouble of taking repeated tablets throughout the day.
-Doxycyclin - again once a day antibiotic and can be taken for a long time.
-Deflazacort- a newer steroid with minimum side effects. This is the strong anti-inflammatory as well as potent anti-allergic and works well in benign follicular hyperplasia ( it is up to your Doctor's view). This can be given over 3 weeks in tapering dosage and supplementary Calcium with Vitamin D is better taken with it.
All these medicines will help you for the under-shoulder blade problem.
-Multivitamins and probiotic to maintain good health as you had 6 weeks fever and must have really reduced your health and well-being.
-Try to find out the allergens/ factors in atmosphere, in foods , beverages and so on. avoid them to avoid recurrence; I know it is difficult but worth trying to find.
-Please try to relax as the major illness is ruled out, I am so relived to know you do not have lymphoma. Anxiety and stress does reduce the body's resistance power to enhance non-specific problems like you are suffering from.
-It is better to take an opinion of an Orthopedic Surgeon about the shoulder blade problem.
I hope this answer helps you once again and to get a relief from your symptoms, tensions and worry.
I shall be happy to assist you more if you need one, please feel free to ask / discuss .
Wishing you a healthy life.