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Multiple lymph nodes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   My 4 year old son shows some swelling in his nexk between the ear and nexk with some saml lymp nodes too along way. Looks like more mangled. They asked us to go for a FNAC and this is the report. Please let me know wht it means and do u suggest a biopsy
mutliple lympo nodes B/L cervical
the result of the FNAC is as follows
Cellular smear showing a mixed population of lymphoid cells comprising of predominently small lymphotcytes adnoxed with centrocytes ,centroblasts inmunoblasts and few plasma cells and tingible body macrophages. no granulome inecrosis seen. typical mitoses noted.
impression - the above picture is suggestive of reactive lymph node.
Doctor :   Hi
User :   Hi
Doctor :please give couple of mins to read your query.
User :   sure Dr
Doctor :   have the doctors suggested for a biopsy?
User :   yes they have as they feel this report is not very conclusive
Doctor :   could i ask a few relevant questions on this?
User :   yes please
Doctor :   what was the reason you saw a doctor for your child?
Doctor :   apart from the swelling, did he have any symptoms?
User :   the swelling above his nexk
User :   no
Doctor :   since how long has this been?
User :   his appitite was fine , no fever, cold, pain
User :   just a few days
Doctor :   ok
User :   say 8 - 10 days now
Doctor :   apart from this , any other area where the nodes are swollen?
User :   the moment i saw the swelling wanted to get it checked and went had his blood and urine also tested
User :   no swollen nodes but they say they can feel some nodes near his armpits
Doctor :   wha do the reports say?
User :   yes
User :   sugar r - 78
Doctor :   could you please give us some details on his blood and urine reports?
Doctor :   ok
Doctor :   are you there with me ?
User :   esr -18, HB 12.4, pcv 36.4,rbc 4.88,wbc total 0000 WBC differential count Neutrophils 31%, lymphocytes 60%, eosinophils 04% basophils 00%
User :   monocytes 05%
Doctor :   ok
User :   platelets 255
Doctor :   ok
User :   mcv 74.6
User :   mch 25.4, mchc 34.1
Doctor :   ok
Doctor :   what about the urine tests?
User :   sugar 78. urine re/ve - nad
Doctor :   ok
User :   also had is san done for the neck and chect
User :   scan done
Doctor :   any history of contact with TB?
User :   no
User :   the doctors have ruled out TB
Doctor :   ok
User :   i am sceptical abt getting a biopsy done for such a small child and since the swelling has reduced from the day they first saw i am even more sceptical
Doctor :   a reactive lymph node is non specific actually.
Doctor :   it may be due to an infection and genrally subside on itself.
Doctor :   since there has been an fnac report on the same, it is better to check with a biopsy to confirm the cause.
Doctor :   as FNAC in this case is not giving us a clear picture.
User :   yes
Doctor :   it could just mean a swollen lymph node
Doctor :   or it could have other causes too.
User :   like
Doctor :   we must not ignore it
Doctor :   i will tell you.
Doctor :   generally infections are the most common cause
Doctor :   as said Tb, any fever, viral infections like mumps, etc
User :   what abt lympoma could it lead to tht
Doctor :   lymphoma could also be a possibility.
Doctor :   which causes many lymphnodes to enlarge in the child
Doctor :   it will also present with fever, cold, weight loss, etc.
Doctor :   to find the exact cause, the biposy will be suggested.
Doctor :   it is too early to come to any conclusion.
User :   is lymphoma curable and also would it have effects on my kid
Doctor :   it depends on the stage of the lymphoma and the type.
Doctor :   I feel you should not thinkof lymphoma
Doctor :   it could just turn out to be a non significant node.
Doctor :   please go ahead with a biopsy and then can plan on the next steps.
User :   ok doctor thankyou so much for ur time
Doctor :   pleasure here.
Doctor :   hope i answered all your questions
User :   yes you have
Doctor :   any other questions i could help you with?
User :   no doctor thankyou
Doctor :   pleasure here
Doctor :   thanks for consulting me
Doctor :   bye for now.
User :   bye
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