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


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

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.


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