Discussions By Condition: Blood conditions

Lymoh node biopsy quesitons

Posted In: Blood conditions 0 Replies
  • Posted By: merry2u
  • November 6, 2008
  • 02:52 PM

Hi,

I'm hoping someone can help with my questions. First of all, my story is quite long so I hoping to give you the "Reader's Digest" version.LOL


In Dec 2007, I had an MRI for a lump in my neck. It turned out to be a Carotid Body Tumor/paraganglioma. I had it removed in March 2008. During the surgery, I also had an enlarged lymph node removed that was follicular hyperplasia.

In July 2008, I has another mass on my right side of my neck. My ENT doctor thought it was another tumor, possibly a vagal tumor. After another MRI and Ultrasound, it was determined to be an enlarged lymph node. I had a fine needle biopsy on it and just got the results. I'm a little concerned about what it says so if any of you can enlightened me on them I would greatly appreciate it.


Final Diagnosis:
Right submandibular lymph node, fine needle aspiration:
-heterogenous population of lymphocytes; see comment

Comment:
Slides show predominantly small lyphocytes with scattered larger forms intermixed. No definitive Reed- Sternberg cells are seen.Tingible body macrophoges are not identified. Flow cytometry performed at Emory University was unsuccessful due to low cell count. The findings are consistent with a benign lymph node, but lymphoma cannot be ruled out and clinical follow up is recommended.

The lymph node is still enlarged and has not gotten bigger.

So my questions are:
Should I get another opinion?
Is it typical for the pathologist to not definite rule out lymphoma?
What type of doctor should I consult?

Any information would be helpful.

Thanks,
Merry

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