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What Is The Prognosis For Enlarged Lymph Nodes When Diagnosed With Stage 4 Hodgkin's Lymphoma?

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Posted on Mon, 25 Jul 2022
Question: Are these results form ultra sound concerning? I have a history of stae 4 hodgkins lymphoma.



TECHNIQUE:

Targeted ultrasound of both axillae.

FINDINGS:

The dominant right axillary lymph node measures 4.1 x 1.2 cm at its

maximum craniocaudal by transverse dimension. The thickness of the

cortex measures 0.6 cm (normal measurement is between 0.2 to 0.3 cm).

Echogenic hilus is well visualized.

The dominant left axillary lymph node measures 3.1 x 1.0 cm at its

maximum craniocaudal by transverse dimension. The cortex measures 0.4

cm (normal measurement is between 0.2 to 0.3 cm). The echogenic hilus

is well visualized. Minimal nonspecific cortical thickening is undentified within the axillary lymph nodes.



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Thank you for your answer. I recently have had some Psoraris on my hands. Could that be causing the lymph nodes to swell? The lymph nodes have both increased in size since they were originally notice a breast MRI. Is a biopsy the only way to confirm for sure? Recent blood tests show that my platelets were high.
doctor
Answered by Dr. Monish De (25 minutes later)
Brief Answer:
Biopsy test

Detailed Answer:

Hi,

Since you are having a history of stage 4 Hodgkin's lymphoma I would advise you to go for a biopsy test

As your USG report shows enlarged lymph nodes which are greater than 2 cm in size you need to concern a little

Any lymph nodes greater than 2 cm is suspicious of malignancy and that is why biopsy test is required to rule out malignancy

Regards,
Dr. Monish De
Oncologist



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Brief Answer:
The confirmatory test is a biopsy to rule out cancer

Detailed Answer:

Hi,

Psoriasis would not cause such enlargement of lymph nodes.

As the size of your lymph nodes have increased in size and is more than 2 cm, a biopsy test is the only confirmatory test to rule out malignancy.

Regards
Dr. Monish De
Oncologist
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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What Is The Prognosis For Enlarged Lymph Nodes When Diagnosed With Stage 4 Hodgkin's Lymphoma?

Brief Answer: Biopsy test Detailed Answer: Hi, Since you are having a history of stage 4 Hodgkin's lymphoma I would advise you to go for a biopsy test As your USG report shows enlarged lymph nodes which are greater than 2 cm in size you need to concern a little Any lymph nodes greater than 2 cm is suspicious of malignancy and that is why biopsy test is required to rule out malignancy Regards, Dr. Monish De Oncologist ------------------------------------------------------------------ Brief Answer: The confirmatory test is a biopsy to rule out cancer Detailed Answer: Hi, Psoriasis would not cause such enlargement of lymph nodes. As the size of your lymph nodes have increased in size and is more than 2 cm, a biopsy test is the only confirmatory test to rule out malignancy. Regards Dr. Monish De Oncologist