My friend was recently diagnosed with enlarged spleen with enlarged lymph nodes on and in the spleen. There are no other enlraged lymph nodes else were. A month ago she was hospitalized due to vomiting and feeling dizzey when turning had to one side. After many tests (CT to the head and some scaning to the ear) she was diagnozed with middle ear infection. after her release from the hospital she was experiencing excesive burping therefore she decided to have abdominal sonogram. sonogram registered some lymph node enlargments on her spleen therefore CT scan was done. CT scan confirmed the sonogram readings. Scheduled spleen removal and lab test of the spleen. Can that be lymphoma or it can be something else?
Lymphoma can sometimes produce non specific sign and symptoms and has a bimodal presentation in 2nd decade and 6 th decade. Enlargement of lymph node , spleen,fever and weight loss over a perion of time can often be the presenting features of lymphoma. biopsy of the specimen removed will give you the diagnosis. Intrabdominal lymphadenopathy can be lymphoma keeping other differential diagnosis in mind.Nothing to worry about, because its a curable disease in early stages .
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I am a 14 year old girl, and I ve been having extreme fatigue for the last 7 months. And I ve had bronchitis 3 times this school year. The doctor said that I have a weak spleen , adrenal glands , and thyroid gland , and my lymph nodes in my neck area are a little lumpy. She gave me some natural supplements and told me to come back for 3 follow ups. i know that these are symptoms of lymphoma. Should I go to see another Dr.?
Hi, is Lympodema hereditary. My mother had it. Ive now developed unusual lumps in my arms, groin, and kidney area. Ive seen a consultant today who is organising surgery to have the lump in my arm removed and a biopsy done. He has also checked the lymph nodes in my armpit.
My wife had a drinking problem. Before retirement I traveled a lot and was away from home about 20 days/mo. She was a Realtor. After retiring I realized she was swallowing Listermint to comaflage the booz on her breath . This had probably been going on for years. I knew she was drinking too much, but had no idea it was as bad as it was. After over 40 yrs of wonderful marriage I left her because of the drinking. We did work it out and things got much better, with only an occassional relapse . She is now 66 and in Jan of this year she was dianoised with lymphoma and has a LARGE tumor on her liver . It is \
I am attaching here the medical report of my father in law for your inputs/recommendations. Diagnosis 1- Metastatic adenocarcinoma of unknown primary. 2- History of hemorrhagic stroke with left hemi paresis. 3- Sick sinus syndrome, status post pacemaker insertion. 4- Diabetes mellitus. 5- Essential hypertension. Of a 77 Y.O. male patient was admitted to hospital on January 10th, 2010 with higher upper quadrant pain associated with fever of 39.5 degrees C. he reported no respiratory symptoms. He had no hematemesis of Melina. The patient reported that he had been feeling week for several months and lost about 09 KGS. From 80 Kg A year ago to 71Kg. He reported extreme weakness from being fully ambulatory till several weeks before presentation to being bed bound and poorly responsive now. The patient did not have any new reparatory symptoms. He is an ex smoker. He quit almost 50 years ago. Since admission, the patient has had a workup that showed multiple liver masses with multiple abdominal lymphadenopathy mostly in the porta hapatis and gastro esophageal junction area. Examination revealed an elderly male who looked very week. He had no cervical, axillary or inguinal lymphadenopathy. His chest showed good air entry interiorly. His abdomen was soft with mid right upper quadrant tenderness. the liver was palpable, mostly in the epigastria region, about 5 cm. Genitalia showed no masses. Significant Investigation; Hemoglobin was 11g/dt. LDH 725 and alkaline phosphates 139. ALT and AST were normal. CEA was increased to 9.6 and CA19-9 was 70. Alpha-fetoprotein and PSA were normal. CT of the chest showed a small right pleural effusion. There was severe bilateral central labural emphysema. There was basilar sub-segmental atelectasis. CT of the abdomen showed multiple enhancing liver lesions, The largest two involved the anterior segment of the right liver lobe and the medial segment of the left liver lobe, and measured 8.7 x 6.7 cm and 7.7 X 7.2cm respectively. The interior vena cave was severely compressed by the right anterior liver lobe segment lesion, however it resumes it s normal caliber in the suprahepatic inferior vena cave level. There were multible sub-centemeter lymph nodes just below the level of the gastro esophageal junction with an average size of 1.2 x 0.8cm. However, there are larger lymph nodes measuring 1.2cm in the shortest axis, mainly in the peri-celiac an porta hepatis region where multiple enlarged lymph nodes are also present. There were also multiple sub-centimeter peri-aortic lymph nodes. The prostate was significantly enlarged and heterogeneous, likely due to heterogeneous enhancement. The maximum obtained diameters are 6.5 x 8 x 8.7cm in the AP. transverse and sagittal diameters respectively. A CT-guided liver biopsy showed a poorly differentiated adenocarcinoma. Recommendation Palliative care was recommended. Please revert back with your best possible recommendation to treat my father in-law. Best regards,
Liver is moderately enlarged in size and homogeneous increased echotexture with regular margins. No focal lesion seen. No intra or extra hepatic biliary dilatation identified. CBD measures 1.4mm.Portal vein measures 11 mm. Gall bladder appears normal. No calculus or mass lesion seen. Normal wall thickness. Normal pancreas . Spleen shows normal echotexture and is of normal size measuring 103.6 mm. Both kidneys show normal size, shape and echogenicity with intact corticomedullary differentiation. No calculus, mass or hydronephrosis seen on either side. Right kidney measures 114 mm in length with parenchymal thickness of 20 mm and left kidney measures 115.6 mm in length with parenchymal thickness of 22 mm. No free fluid or para-aortic lymphadenopathy noted. Uterus is anteverted and bulky in size. Uterus measures 109 x 48 x 52.3 mm. Hypoechoic mass seen in the anterior wall of the myometrium at fundal region slightly exophytic measuring about the 32.2 x21.7mm suggestive of intramural fibroid .Endometrium appears normal. Endometrial thickness measures 4mm. Both ovaries are normal in size. No mass or cyst seen in either ovary. Right ovary measures 22 X 7.6 mm and left ovary measures 23.4X 8 mm. No definite adnexal abnormality seen. No free fluid seen in cul-de-sac. Urinary bladder appears unremarkable. IMPRESSION: Moderate hepatomegaly with moderate fatty infiltration of liver however margins are smooth and no focal intrahepatic mass lesion seen. Bulky anteverted uterus with anterior wall intramural fibroid slightly exophytic as mentioned above. No other abdominal or pelvic pathology seen.
I have a history of diverticulitis. Had a successful resection in 07.. Seems tho that I have an irritable bowel. My internist says I have chronic diverticulitis, but he is guessing. I had a colonoscopy last spring. The doc who did the surgery said...
My father has been diagnosed with abdominal lymphadenopathy through endoscopy FNAC taken however not successful due to scant lymphoid tissue.TB HIV and Hepatitis report are negative.while he was feeling very tired from some time and constipation...
Hi doctor. i have been born and brought up in Europe. recently i got married and shifted to XXXXXXX (since last 5 months). ever since i have moved here my health has been an issue. i was diagnosed with typhoid but have been treated rightly now (in...
Sir/Madam, My son aged 2 1/2 years has been suffering from stomachache since two weeks. His weight is 10 kg only. Though he is not continuously informing about the pain in stomach but often he is reporting the same. We consulted the doctor he prescribed some antibiotic syrups. After a week to 10 days he suffered with nausea one time and motions some time. After explaining the situation to the doctor he suggested for blood and urine test and ultra scanning of abdomen. Blood tests are normal just the Hemoglobin percentage is less compare to actual. He has Hemoglobin as 10.4 only while actual normal has to be between 13.5-18.5 as per their report. But in the matter of T.W.B.C. he has 12900 cells/cu mm while actual should be between 4000-11000. It seems much than actual. Regarding ultra scanning report all the report is normal. But at the end of the report they mentioned Few enlarged mesenteric lymph nodes are noted in epigastrium and umbilical regions, largest one measuring 15x8 mm. They gave the impression as: Feature suggestive of mesenteric lymphadenopathy. *Suggested clinical correlation and further evaluation. After going through the report our regular doctor prescribed cyclopam for pain, zifi for cough/cold or as antibiotic. As we are not satisfied with the treatment of the doctor, I brought my son to another doctor where he given us lot of courage saying that this is the normal problem in children and it will be cured. He prescribed OFSIVITA, ENTEROGERMINA, Z & D, JUNIOR LANZOL, D-TUS FOR FIVE DAYS AND ADVISED TO STOP THE MEDICINE AFTER THE SAID PERIOD AND THE DISEASE WILL CURE ITS OWN. There is no fever, continuous motions, vomiting, night swet are noted in my son. But he is looking like too weak and not active than the previous days. He is playing but not with previous excitement. For the past few days we are trying to give liquid food to him. That may be one of the causes for his weakness. But his digestive power is too low since his birth. As on 15.01.2011 his weight is 11.3 kgs. In this regard, some people are scaring us that if we not take good treatment, this may be leads to different diseases such as TB, Cancer, etc. Sir, we are in too much tension. We are also not eating our food properly. This problem is from about 4 to 5 months we are facing. Recently a person by reading information which I put online, called me from Gujarat and he has a son of 5 years old having the same symptoms since 9 months. He informed that no Doctor is giving concurrent answer and he told that they are telling that this is normal infection which cures itself only within a few days or weeks or years. Till now I didn’t get my son for TB test and I am scared about the test to clarify my doubt that whether this problem is due to any cancer virus. We hope that you will help us in this regard for advising us as well as giving courage. Kindly suggest best cautions to be taken, medicine to be used, and the food to be given. We are in need of early reply sir. Thanking you, God may bless you. Muhammad Siddiq Bhimavaram W.G. Dist., Andhra Pradesh 0000
where is the periceliac and peri-sma lymphadenopathy? and retroperitoneal lymphadenopathy, where is the left paracolic gutter. I have ovarian cancer and these are new areas on my ct scan. I am having pian in my lower back and wonder if they are in that area.