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B-cell lymphoma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
Doctor :   hi
User :   hello
Doctor :   How can I help you?
User :   I have been diagnosed with diffuse b cell you know much about it?
Doctor :   I am a general practitioner.
Doctor :   I can help you within my expertise.
User :   great
User :   I understand the staging factors
Doctor :   Ok
User :   but I can't seem to find any information about the physical characteristics of the stages
User :   I don't know what satge I'm in
User :   I had an enlarged salivary gland removed
User :   the tumor caused blocakage
Doctor :   Its diffficult for a common man to understand this as it involves highly technical words.
User :   my gland became infected
User :   I do have a family friend who is a er nurse
Doctor :   Ok
User :   he said he didn't think I would be a stage four because of how I feel...he said I'd be inemic (sp?)
User :   I have no other swollen nodes
User :   fisrt, is that generally a good sign?
Doctor :   According to this history, yes it is a good sign.
User :   Second, I had a CT scan done for somethin unrelated six months aga and it looked at my adbomin and pelvic area. It can back clean. Is that generally a good sign?
Doctor :   However clinical examination for presence of elevated lymphnodes is needed to distinguish the grades clinically and not just the symptoms alone.
Doctor :   Yes, done 6 months ago are also indicating that you may not have an advanced illness.
User :   BTW, I'm simply looking for your observations, not to use if as support or against my doctors decisions...this is for peace of mind
User :   I apprecaite your service
User :   okay
Doctor :   Ok.
User :   I also had complete blood work done a year ago, it came back this generally good?
Doctor :   Yes, they are also an indication that it may not be an advanced illness.
User :   I mean, are there things on the report that would indicate problems?
User :   Are there any physical charactersitics that a patient experiences in stage 3 or 4?
Doctor :   I shall give you these facts about b cell lymphoma, which should be helping you in calming your nerves.
Doctor :   1. Most of the tumours are asymptomatic and diagnosed by investigations or incidentally following evaluation.
Doctor :   2. Since the scan reports and the blood test were normal a year ago, it appears that the condition may have appeared recently.
Doctor :   Most often a tumour which is recent in origin are usually early stage tumour/
Doctor :   Hence probably the illness must be in early stages.
User :   what does "recent in orgin mean" ?
Doctor :   However, having said that, you would need physical examination to look for presence of lymphnode enlargements in the body and the reports of the biopsy to essentially grade the tumour.
Doctor :   Have you followed?
User :   yes
Doctor :   Hence I would suggest you to consult your treating doctor.
User :   I'm glad you brought up the grade of the tumour...I asked my ENT the size of the tumor, he said it was hard to tell because it became e...something a term I didn't undeerstand. However, he did an ultra sound, and initially thought it was a stone. There was quite a bot of infection. If it were large, it would be apparent it wasn't a stone. Therefore I suggest it must have been about the size of a normal submanibular gland stone.
User :   does that seem logical
User :   ?
User :   I do plan on following up.
Doctor :   My expertise are limited towards radiodiagnosis.
User :   okay
User :   i have just a few more questions
Doctor :   This question will be better answered by a radiologist.
Doctor :   I can only comment on the clinical details.
Doctor :   Do you have any other query?
User :   the tumour was in the gland...there is aterm for this
User :   anyway, can the disease start outsied the node system, or did the gland get it from a near by node?
Doctor :   The origin of the tumour is a lymphnode.
Doctor :   The site of the lymphnode can be any where in the body.
User :   Can the biposy tell if it is the primary tumor?
Doctor :   Yes, it can make out a primary tumour.
User :   two more questions - If I were stage three or four, would i likely have symptoms - fevers, night sweats (i will get to that question in a second),
User :   fatigue,
User :   other swollen areas?
Doctor :   Yes, these symptoms are very often seen.
User :   but not as much in stage 1 or 2?
Doctor :   Early stages may or may not have any symptoms at all.
User :   Okay, last question, in two parts ... I have had one serious bout with night sweats, but it was after the first time I took prendisone and I took it just before I wen to bed. I do, experience some sweating at night, but not enough to soak my sheets or underwear. Do you think I am experiencing night sweats?
User :   How many nights in a row do youu have to have them to be a problem?
Doctor :   Night sweats are usually associated with fever, so if you were not having fever during those event, then its not of serious concern.
User : fever...I check many times a day
User :   Part two and last questions, I have lost about 20 pounds over the 6 weeks. Before this throws a red flag, I shold tell you I made serious attempt to change my eating soda pop, no eating after 7 pm, manageable portions. I also don't eat much when I'm stressed.
User :   I am 5'10" and weighed 197 ... I'm down to 177. I run 20-25 miles per week.
Doctor :   You mean you have lost weight during the last 6 weeks?
User :   yes
User :   but I tried to lose weight
Doctor :   If you were trying to loose weight by means of exercises and dieting, then it is of less concern in the present context.
User :   I have a histroy of losing weight quickly
User :   yes, my goal now is to maintain my weight
Doctor :   Unexplained weight loss is a feature of malignant tumour/advanced stage tumours.
Doctor :   Have you followed?
User :   yes, thanks, this has been very helpful.
User :   have a good day
Doctor :   Lastly, since the information you read on the net is just for information.
Doctor :   They may not be the same with you.
Doctor :   Hence I would suggest you not to be get panicked by what you read on the web.
Doctor :   The doctor who is physically examining you and treating will be the one who will be able to provide you with the exact details pertaining to your illness.
Doctor :   Hope, I have helped you in relieving your anxiety to some extent.
Doctor :   Thanks for consulting healthcare magic.
User :   youu did...thanks again. bye
Doctor :   Bye for now.
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