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Have low grade fever, swollen lymph nodes in neck and armpits, night sweats, fatigue. Had tonsils removed. What do I do?

Hi Dr. Christensen Hi All, I am a 37 yo female. I have been experiencing random low grade fevers for about 8 years now. Almost always they are accompanied by lymph node swelling and pain. Especially in my neck and arm pits. Sometimes they are accompanied by fatigue, hives , and/or night sweats . I have gone through the gamut of tests with my hematologist/ oncologist . In 2005 I had some lymph nodes removed, but unfortunately it was by a breast cancer doc (that is who I saw first since I have a family history of it) and he only did tests to rule out breast cancer. The path report then said chronic hyperplasia . Since then I have had numerous CT scans, ultrasounds, a PET scan last year, and lab tests that are now too many to count. I am negative for Hepatitis, HIV, cat scratch fever, lyme s disease, brucellosis , mono, etc. Most common blood panels have been normal as well (hematology, chemistry, urinalysis). The only things that were on his list of possibilities that we hadn t ruled out were some type of lymphoma or a rare genetic disorder/disease. In November of last year my hem-onc doc decided I should have my tonsils removed since I was getting tonsil stones, plus then he would have lymph tissue to do a full lymphoma panel on. So I timidly agreed. I had heard horror stories of doing this as an adult and my GP was also hesitant. I put my ENT surgeon in contact with my hem-onc so the lymphoma panels could be run. Apparently everything was set. I double checked at my pre-op visit and the ENT said it was good to go. I had the surgery on Dec. 14th, but heard nothing back about results. Figured it must be good news plus it was the holidays. Went for my follow up first week of January and the path report said both tonsils had Lymphoid follicular hyperplasia . ENT never explained this. It also said a portion of sample was on hold for flow cytometry (the lymphoma panels ordered). So I figured they still needed to run the flow. But two more weeks went by and I hadn t heard anything. Then my ENT called and she seemed very short and anxious. She told me the Pathologist had decided not to run the flow cytometry. When I asked why she said because my tonsils looked normal and there was no indication for further testing. I was very confused. My oncologist had ordered these tests to be done. To make a long story short, a lot of phone calls later I found out they despite what the lab report said (that samples had been put on hold for flow cytometry) they had actually forgotten to prepare my tonsils in saline which is what is needed to do flow. Instead they prepared them all in formalin and just did regular microscopic examination. So I basically had my tonsils removed and suffered for nothing. What do I do now????? I am unbelievably stressed by all this...after so many tests and years of worry I still have no answers!!! Any advice would be much appreciated!!!!!!
Asked On : Mon, 4 Feb 2013
Answers:  1 Views:  194
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General & Family Physician 's  Response
welcome to healthcare magic
from your description of symptoms, and diagnosis of lymphoid follicular hyperplasia on lab results,
lymphoid hyperplasia are of two types -
- follicular
causes of the different types include -
-follicular - rheumatoid arthritis
- aids
- idiopathic which is common.
- diffuse - post vaccinal
- anticonvulsant therapy
- viral form of lymphadenitis
i would suggest go back to your oncologist again and if they can take a biopsy of the swellings you have it might be of help.
you can get tests done to rule out the causes mentioned above.
hope to have answered your query.
wish you a quick recovery. be strong.
Answered: Thu, 7 Feb 2013
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