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Suggest Treatment For Swollen Lymph Nodes In Neck And Abdominal Area

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Posted on Wed, 9 Nov 2016
Question: I was diagnosed with fibromyalgia in 1995. I had thyroid cancer in 1979. I now have a lot of problems with my lymph nodes. One had to be drained (groin) a year ago and I ended up with mercer. Could I have sarcodoma? I have swollen lymph nodes in my neck, belly, and one about the size of a golf ball in my lower back.
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
It is always the histopathology diagnosis that matters. Go for it.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/60 - treated thyroid cancer 1979 - fibromyalgia 1995 - noted the medications - lumps in neck - belly - lower back - one drained a year ago in groin -

Since the lymph nodes have fixed area like neck, axillae, groin, these are not present on the belly or back.
Hence I would advise you the following:
The one on the belly and back may be lipoma, sebaceous cysts or so.
To get a clinical evaluation and examination, preferably by a General Surgeon.
Ultrasound and FNAC or still better to get them excised for the following reasons:
- You get rid of the lumps which are not the normal parts of the body.
- You get a confirmed diagnosis when the sample is sent for histopathology examination.
The ones on the neck can be diagnosed by ultrasound and FNAC- fine needle aspiration cytology and if FNAC is not conclusive then request for excision biopsy in view of history of thyroid cancer, although long away in 1979.

Sarcodome?/ Sarcoidosis/malignancy: This is always a histo-pathological diagnosis and hence no comments as biopsy is a must t get the correct diagnosis, which is of utmost importance since you know what it is like having something and not having the correct diagnosis can lead to.

I hope this answer helps you an early diagnosis and most proper treatment.
Continue your medical management as before and have regular follow-ups with your Doctor to have optimal medical fitness.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment For Swollen Lymph Nodes In Neck And Abdominal Area

Brief Answer: It is always the histopathology diagnosis that matters. Go for it. Detailed Answer: Hi. Thanks for your query. To recapitulate: Female/60 - treated thyroid cancer 1979 - fibromyalgia 1995 - noted the medications - lumps in neck - belly - lower back - one drained a year ago in groin - Since the lymph nodes have fixed area like neck, axillae, groin, these are not present on the belly or back. Hence I would advise you the following: The one on the belly and back may be lipoma, sebaceous cysts or so. To get a clinical evaluation and examination, preferably by a General Surgeon. Ultrasound and FNAC or still better to get them excised for the following reasons: - You get rid of the lumps which are not the normal parts of the body. - You get a confirmed diagnosis when the sample is sent for histopathology examination. The ones on the neck can be diagnosed by ultrasound and FNAC- fine needle aspiration cytology and if FNAC is not conclusive then request for excision biopsy in view of history of thyroid cancer, although long away in 1979. Sarcodome?/ Sarcoidosis/malignancy: This is always a histo-pathological diagnosis and hence no comments as biopsy is a must t get the correct diagnosis, which is of utmost importance since you know what it is like having something and not having the correct diagnosis can lead to. I hope this answer helps you an early diagnosis and most proper treatment. Continue your medical management as before and have regular follow-ups with your Doctor to have optimal medical fitness.