HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Enlarged Lymphnode With Frequent Fever?

default
Posted on Mon, 7 Apr 2014
Question: FNA OF THE LEFT CERVICAL LYMPH NODE YIELDED GRANULAR PARTICULATE MATERIAL. SMEARS ARE CELLULAR. THEY SHOW DIFFUSE SHEETS OF LYMPHOID CELL CONSISTING OF AN ADMIXTURE OF MEDIUM AND LARGE SIZED LYMPHOCYTES ALONG WITH LYPHO-GRANDULAR BODIES, ENDOTHELIAL CELLS AND PLASMA CELLS. THE LARGE LYMPHOID CELLS SHOW CLUMPED CHROMATIN WITH OCCASIONAL NUCLEOLI. RARE BINUCLEATED CELLS SEEN BUT NO CLASSICAL XXXXXXX STERNBERG CELLS ARE SEEN. NO EPITHELIOID CELL GRANULOMAS SEEN. THE PATIENT IS AN EIGHT YEAR OLD CHILD WITH A ENLARGED LYMPH ON THE LEFT NECK FOR LAST THREE TO FOUR YEARS. PREVIOUSLY THERE WAS NO PAIN BUT SINCE LAST MONTH THERE IS SLIGHT PAIN ON THE OPPOSITE SIDE OF THE NECK. SHE HAS FEVER FREQUENTLY ALSO. THUS AS THE LYMPH GOT ENLARGED FROM PREVIOUS POSITION AN FNAC WAS PERFORMED WITH THE RESULTS ABOVE. WE WANT TO KNOW WHAT IS THE EXACT DISEASE AND ITS TREATMENT.
doctor
Answered by Dr. Indranil Ghosh (20 hours later)
Brief Answer: Needs a lymph node biopsy Detailed Answer: Hi Thanks for your query. With an enlarged lymphnode for long time and frequent fever, possibility of lymphoma, particularly Hodgkin lymphoma is there. FNAC is not ideal for diagnosing lymphoma. Also the report provided is suspicious for lymphoma. Hence I think she needs a biopsy of the lymph node where an entire node needs to be removed and examined. Even if it is lymphoma, excellent treatment options are available. Hope I have answered your query. I will be available to answer further followup queries, if any.
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask an Oncologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
What Causes Enlarged Lymphnode With Frequent Fever?

Brief Answer: Needs a lymph node biopsy Detailed Answer: Hi Thanks for your query. With an enlarged lymphnode for long time and frequent fever, possibility of lymphoma, particularly Hodgkin lymphoma is there. FNAC is not ideal for diagnosing lymphoma. Also the report provided is suspicious for lymphoma. Hence I think she needs a biopsy of the lymph node where an entire node needs to be removed and examined. Even if it is lymphoma, excellent treatment options are available. Hope I have answered your query. I will be available to answer further followup queries, if any.