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Old 06-29-2005, 12:38 PM   #1
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help0001 HB User
Is this likely to be lymphoma?

Hi. I am a regular to this forum and have posted before although I haven't received many comments. I had to see a blood specialist recently because of several enlarged lymph nodes: one behind ear, in groin, and armpits. I do feel warm and have been sweating and have no other symptoms. The lymph nodes are all painless and the blood specialist said he could rule out leukemia because of my blood work being so perfect. However, he said that it could be lymphoma but not to worry about it at this stage. What I am really wondering is can lymphoma, in a 19 year old be almost symptomless? I do feel pretty ill on some days whilst others I feel fine. I have had all the differential with a CBC blood tests which are all well within the range. My thyroid is fine, except I have an elevated ANA "Anti-Nucleur Anti-body Test". Could it be cancer of the lymph nodes? I have to see my specialist in August as he wants to see what the lymph nodes are like then. They are still painless and present. Could these just be normal? Please help. All feedback would be most appreciated.

Thank you.

 
Old 06-29-2005, 04:54 PM   #2
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Re: Is this likely to be lymphoma?

Quite often Lymphoma has no uncomfortable symptoms. There are no night sweats, no fevers, no pain. The only clue is a painless firm nodule that appears in the supraclavical area(top of the collar bone). If the patient is alert and the doctor equally alert it is discovered on a routine physical exam. If the type of lymphoma discovered is agressive, meaning that it is growing fast, then chemo and radiation can cure the cancer before it becomes dangerous to important vital organs such as lungs or liver. If the cancer is indolent, that means that it may present with symptoms periodically and appear to disappear altogether only to come back 2 or 3 years later. This type is often incurable but does spend quite a few years 15 or more coming and going before it is seriously considered to be a treatable illness. Now with so many infections, viruses and so forth out there many people have some very suspicious symptoms. The most important thing to remember is that a biopsy is the only thing that confirms lymphoma. Aggressive Lymphoma is often found in young people under the age of 30. Older people tend to get the indolent lymphoma which appears around the 50+ age group. However, only a pathologist can actually say what type of lymphoma it is and there are exceptions to all the general statements one can make. The thing we hear over and over again is:"if you have to contract cancer, lymphoma is the best cancer to get in terms of rate of cure, effective treatments and longevity of life".

 
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Old 06-29-2005, 08:34 PM   #3
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Re: Is this likely to be lymphoma?

Agree with Merimac, in your age if you have Lymphoma it should be Hodgkins type which is very curable (higher than 87% prognosis even in stage IV).

However, I do wish that your swollen lymph nodes are not cancerous and only reactive lymph nodes, maybe against infection or your autoimmune.

Last edited by ryu1977; 06-29-2005 at 10:25 PM.

 
Old 06-30-2005, 10:07 AM   #4
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Re: Is this likely to be lymphoma?

First of all I would just like to say thank you very much to Merimac for all the very useful points you made. It was very much appreciated. Based on what I have told you do you think it could be lymphoma? Thank you for your information about a biopsy. The blood specialist told me he would wait to see what my lymph nodes are like when I re-see him again in August. He did mention that they are on the smaller side but are enlarged. What has been worrying me though is that I have these lymph nodes and often feel rather hot which I never did before. I don't, as far as i'm aware have any underlinning infection, as i've been tested for all sorts of infections last time round. All are negative, and my CBC is well within the range. Should I be concerned about this? Thanks again for your help.

 
Old 06-30-2005, 10:10 AM   #5
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Re: Is this likely to be lymphoma?

Thank you "Ryu1977" for your comments as well. Very much appreciated. My Blood Specialist did mention that they could be reactive. Although, I am not quite clear how they are reactive though. Can autoimmune disorders cause lymph node enlargements then?

Thank you for your help also.

 
Old 06-30-2005, 04:51 PM   #6
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Re: Is this likely to be lymphoma?

Quote:
Originally Posted by help0001
First of all I would just like to say thank you very much to Merimac for all the very useful points you made. It was very much appreciated. Based on what I have told you do you think it could be lymphoma? Thank you for your information about a biopsy. The blood specialist told me he would wait to see what my lymph nodes are like when I re-see him again in August. He did mention that they are on the smaller side but are enlarged. What has been worrying me though is that I have these lymph nodes and often feel rather hot which I never did before. I don't, as far as i'm aware have any underlinning infection, as i've been tested for all sorts of infections last time round. All are negative, and my CBC is well within the range. Should I be concerned about this? Thanks again for your help.
I wish I could answer your question, but I just don't know the answer. I read your question about reactive nodes and reactive means that the lymph nodes detect a passing germ, bacteria or virus and rather than a person becoming infected the lymph nodes "react" to swallow up the perceived offender and of course they swell in order to surround and quarantine the offending invader. Sometimes lymph nodes do react to things that are not a danger to the body, but the lymph nodes "think" it is dangerous and will swell. Autoimmune disorders are more complicated than that because the body will actually secrete substances that the immune system identifies as being foriegn. For instance, I once knew some one who was allergic to their own adrenalin and when they exercised, they would have a full body swelling due to the addrenalin put out by running or dancing etc. They had to take allergy medications if they got over excited. But that is one example and there are many others even more complicated. But, yes, that is the function of the lymph node to swell if the body is in perceived danger.

 
Old 06-30-2005, 05:33 PM   #7
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Re: Is this likely to be lymphoma?

Hi Help0001

I am not a doctor, therefore I could not explain precisely how autoimmune disorder or allergy could enlarge a lymph node. However, you could find some autoimmune disorder and allergy relation with swollen lymph node by typing "swollen lymph node allergy" or "swollen lymph node autoimmune disorder" in your search engine. There are tons of conditions there about swollen lymph node.

Wish you healthy

 
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