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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Nodes?

I have a lymph node under my arm for over two years now... The swelling goes up and down but it never fully disappears. I had a ct scan, multiple blood tests, an ultrasound, chest x ray and a core needle biopsy which got tissue from two different lymph nodes in my arm pit.. the results can back inconclusive because the sample was so small.. although my doctor believes I've ruled out lymphoma. Although I'm scared they missed something, because if it was an infection which I was negative for all of them, shouldnt the lymph node unswell?
Fri, 30 May 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.
Yes, very true. The lymph nodes should have been totally resolved by this time.
The nature of the lymph node indicates the need of another - second opinion and a repeat FNAC to be done under ultrasonography guidance.
This is where the Doctors fail.
The FNAC has to be done under the ultrasonography guidance so that the exact tissue can be gotten and processed. This will give us conclusive diagnosis .
Very true that the diagnosis of a sinister Lymphoma should be done or ruled out.
I hope the simple tests of antibiotic results must have been done already .
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What Causes Swollen Lymph Nodes?

Hi. Thanks for your query and an elucidate history. Yes, very true. The lymph nodes should have been totally resolved by this time. The nature of the lymph node indicates the need of another - second opinion and a repeat FNAC to be done under ultrasonography guidance. This is where the Doctors fail. The FNAC has to be done under the ultrasonography guidance so that the exact tissue can be gotten and processed. This will give us conclusive diagnosis . Very true that the diagnosis of a sinister Lymphoma should be done or ruled out. I hope the simple tests of antibiotic results must have been done already .