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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will EGD With Biopsy Also Check For Lymphoma?

My brother has been treated for sarcoidosis for 18 mos and it is not being helped by steroids. He recently went on methyltrexate. He has 3 lymph nodes in his chest that have tripled in size recently.. He is going to have an EGD W/BIOPSY. Would they be checking for lymphoma?
Mon, 12 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion following are the possibilities in your brother's case.
1. Tuberculosis
2. Malignant hilar lymphnode
3. Lymphoma
4. Fungal infection like toxoplasma. Etc.
Since he is not improving with steroids,possibility of above mentioned causes is high.
To rule out all these tissue material is needed.
And for this bronchoscopic ultrasound guided biopsy is needed.
It is done through EBUS (Endobronchial Ultrasound).
In this FNAC is taken under vision. So yield from the sample is high.
So they are doing this to rule out other above mentioned possibilities including lymphoma.
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Will EGD With Biopsy Also Check For Lymphoma?

Thanks for your question on HCM. In my opinion following are the possibilities in your brother s case. 1. Tuberculosis 2. Malignant hilar lymphnode 3. Lymphoma 4. Fungal infection like toxoplasma. Etc. Since he is not improving with steroids,possibility of above mentioned causes is high. To rule out all these tissue material is needed. And for this bronchoscopic ultrasound guided biopsy is needed. It is done through EBUS (Endobronchial Ultrasound). In this FNAC is taken under vision. So yield from the sample is high. So they are doing this to rule out other above mentioned possibilities including lymphoma.