Discussions By Condition: I cannot get a diagnosis.

Biopsy/ Pathology Report Questions

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: merry2u
  • November 9, 2008
  • 04:34 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 macrophages 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 rule out lymphoma?
What type of doctor should I consult?

Any information would be helpful.

Thanks,
Merry

Reply Flag this Discussion

1 Replies:

  • I am sorry you are having to go thru the scare of this... I am not a doctor and know no more then what I have read about lymphoma, but in any case this is my opinion... I do think you should ask for another biopsy since the Flow cytometry was unsuccsessful. The pathologist would rule out lymphoma if all the biopsy results came back clear. The Flow cytometry didn't and that is why he can not rule it out. He does however say that the tests that were successful are consistent with a benign lymph node. As for your last question, I would stay with the same docotor if possible. One that knows your history. I think you are most likely looking at a benign lymph node, but I do know how hard it is to accept without knowing and in any case the pathologist does say that it needs to be followed up. Hope you get some answers quickly... Kiera
    Anonymous 42789 Replies
    • November 9, 2008
    • 10:18 PM
    • 0
    Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.