Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
188 Doctors are Online

Noticed blood in cough. CT scan showed enlarged lymph node. What is the cause and cure?

Sep 2012
User rating for this question
Answered by

General & Family Physician
Practicing since : 2008
Answered : 1416 Questions
Hello, I have a friend in UK. Her x rays and CT scan showed that her lymph nodes are enlarged. Recently she saw blood in her cough. Doctors have conducted tests and ruled out TB. They also said that it does not look anything like cancer. She tested positive for a D dimer test. Doctors suspected that there might be a clot in her lungs. They conducted some test called angiography ( I am not sure of the name ). The test showed that there was no blood clot anywhere in the body. I want to know what all could be the possible reasons for an elevated d dimer ?? In the worst possible situation, god forbid, even if it turns out to be cancer, can it be cured??
Posted Sat, 2 Mar 2013 in General Health
Answered by Dr. Das Arindam 2 hours later

Thank you for posting a question.

Look, d dimer is a fibrin degradation product. It is present in higher amount in cases of XXXXXXX vein thrombosis, pulmonary embolism, disseminated intravascular coagulation (DIC), aortic dissection. That means in a word, it indicates a high chance of thrombosis.

As the tests failed to detect any abnormality in lungs, I think, pulmonary embolism is ruled out.

Most commonly, DIC is associated with sepsis and some hematological malignancy like AML M3. That means in cases of leukemia, there is a chance of getting higher value of d dimer.

So, her complete hemogram should be done immediately. It can provide us basic information about presence of any neutrophilia, or leukemia. If suspicion arises flowcytometric analysis should be carried out. CT guided FNAC from the enlarged lymph nodes should be considered.

One more point is anticoagulant prophylaxis. Whatever is the cause, she has higher tendency for developing thrombosis. So, she should be kept on low molecular weight heparin or any other anticoagulant agent prophylactically to prevent any chance of thrombosis.

So, right now, tell her to consult with her treating doctor about the possibilities I have told. And tell her to consult about the diagnostic approach and the anticoagulant therapy I have mentioned.

Hope this information suffices. Let me know if you have any more question.

Above answer was peer-reviewed by
Follow-up: Noticed blood in cough. CT scan showed enlarged lymph node. What is the cause and cure? 7 hours later
If it turns out to be leukimia.....can it be cured??
Answered by Dr. Das Arindam 53 minutes later

Thank you for writing back.

Look, if it is a leukemia, prognosis can be commented after doing some more tests like cytogenetic analysis, karyotyping, tumor load, response to chemotherapy and many more.

That means just tell her to consult with her treating doctor and keep following up. Wait for the exact diagnosis. After that you can again ask me.

Hope you have your answers.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Lab Tests
Medical Topics

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor