Generalized lymphadenopathy and excisional biopsy
Richard
Visited a family physician in April, and was disgnosed with generalized
lymphadenopathy.
Visited a senior dermatologist at about the same time. Told me I had papular
eczema and prescribed cyclocort.
After a few other visits to the physician and an hematologist/oncologist. I
am now facing excisional biopsy of a lymph node to rule out lymphoma.
I am male 55, stop smoking 3 months ago
(had blood tests in april, jully) (x-ray and ct-scan)
ct-scan showing splenomegaly (16.5 cm)
biggest node is 2.7 cm (subcarinal)
2nd biggest is 2.1 cm (right axilary) and a left iliac of 2.1 cm
1.8 cm to the left of the aorta etc.
(some cervical nodes are of good size, were not part of ct)
Could eczema be the cause for such an adenopathy?
Could allergies be the cause for such an adenopathy?
- eczema & allergies
Could autoimmune be the cause for such an adenopathy?
- It looks as if I have osteoartritis in 3 fingers
What else than cancerous processes could produce such an adenopathy?
Which node should be chosen (right axilary 2.1 cm, or right post cervical
approx 1.5 cm). I have read an article stipulating that axilary and inguinal
nodes should not be selected for biopsy, since they frequently show only
reactive hyperplasia.
Would appreciate immediate answers, will meet with the surgon in a few days!
I have been reading articles, where excisional biopsy is requested only
after eliminating the possibilities for some common virus, bacteria,
parasites to have been the cause for a generalized lymphadenopathy.
(requiring several lab tests). I am thinking in particular about
"Lymphadenopathy: differential diagnosis and evaluation"
Robert Ferrerm MD., M.P.H., U of texas...
a publication of the American Family Physician, Oct 15, 1998 (available on
the internet)
Regards
Richard