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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lymph Node Removed, Swollen Cells. Family History Of Cancer. Suggestion?

I had a lymph node removed (groin ) three panels of pathologist came back with three different answers hodgkins non hodgkins swollen cells I am set up to have radiation but the oncologist wants to do watchful waiting my father had hodgkins my mother had cancer of the bone marrow at this time the only symptom ihave is being tired all the time with the family history i am not comfortable doing nothing should i tell the doctor this and go forward with radiation
Mon, 19 Aug 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

It is evident from your history that you have enlarged lymph nodes in groin region.
The biopsy report has revealed malignancy but the character of the malignancy is not confirmed.
Three different diagnosis is given by three pathologists.
However, final and correct diagnosis is required as the treatment deoends on the diagnosis.
The treatment of Hodgkins and Non- Hodgkins lymphoma is completely different.
Different chemotherapeutic agents are used for both the conditions.
Get your slides reviewed by an experienced Pathologists aling with immune markers.
Immune markers are very important for diagnosis of lymphomas.
Requirement for radiation therapy depends on the stage of the lymphoma.
So, consult an experienced pathologist (especially hemato-pathologist) for review of the sides and immune marker studies.

Thanks and take care
Dr Shailja P Wahal
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Lymph Node Removed, Swollen Cells. Family History Of Cancer. Suggestion?

Hello and welcome to HCM, It is evident from your history that you have enlarged lymph nodes in groin region. The biopsy report has revealed malignancy but the character of the malignancy is not confirmed. Three different diagnosis is given by three pathologists. However, final and correct diagnosis is required as the treatment deoends on the diagnosis. The treatment of Hodgkins and Non- Hodgkins lymphoma is completely different. Different chemotherapeutic agents are used for both the conditions. Get your slides reviewed by an experienced Pathologists aling with immune markers. Immune markers are very important for diagnosis of lymphomas. Requirement for radiation therapy depends on the stage of the lymphoma. So, consult an experienced pathologist (especially hemato-pathologist) for review of the sides and immune marker studies. Thanks and take care Dr Shailja P Wahal