How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Pravin Your Own Question

Dr. Pravin
Dr. Pravin, Physician
Category: Medical
Satisfied Customers: 1984
Experience:  MBBS DNB
25843817
Type Your Medical Question Here...
Dr. Pravin is online now
A new question is answered every 9 seconds

Please help me to understand why reactive axillary nodes

Resolved Question:

Please help me to understand why "reactive" axillary nodes (with no malignancy) are still not a concern. I had a breast reduction done for cosmetic reasons and the term "reactive" was used to describe some nodes that were taken. Should I be trying to figure out what made the nodes reactive or should I just let go of this worry? should I have further testing? Thank you.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Pravin replied 3 years ago.

skindoctor2000 :

When was the Breast Reduction Surgery performed and was the time gap between the surgery and the Fine Needle Aspiration Cytology testing done?

Customer:

It was done for cosmetic reasons and to relieve back/shoulder/neck pain. No FNAC was done. The nodes were taken as part of axillary tissue during the reduction. Surgery done a week ago.

Customer:

If FNAC is done in pathology (and i don't know whether it is), the pathologist probably didn't test the specimens until the Monday after the surgery was done on Friday before. I got my copy of the report the Wed. after the surgery.

skindoctor2000 :

There are three distinct patterns of benign lymphadenopathy:



  • Follicular hyperplasia - Seen in infections, autoimmune disorders, and nonspecific reactions.

  • Paracortical hyperplasia - Seen in viral infections, skin diseases, and nonspecific reactions.

  • Sinus histiocytosis - Seen in lymph nodes draining limbs, inflammatory lesions, and malignancies.

skindoctor2000 :

If you have no history of any of the above then you neednt worry

Customer:

I have no way to know if I've had a history of the sinus histiocytosis because this is the first time I've ever had nodes removed for any reason. As far as I know I have never had any kind of cancer -- all normal mammograms, breast ultrasounds, blood tests, etc. through the years. Could mild reactions to things like pollen or cat dandruff (we have both around here) cause nodes to be "reactive"? Could I have had some sort of inflammation and not been aware of it?

skindoctor2000 :

no , reactions to pollen or dandruff cannot give rise to reactive axillary lymph nodes

skindoctor2000 :

if you have done all the tests and they have come normal , you shouldnt worry about it

Customer:

Should I try to figure out what caused the initial reaction or is there no way to know this?

skindoctor2000 :

no now there would not be any way of finding out unless you have lymph nodes swollen on other side

Customer:

Nodes were taken from both sides in the reduction and both sides showed "reactive." Is this common?

skindoctor2000 :

you shouldnt worry unless you get pain or swelling or weight loss

skindoctor2000 :

this is very common

Customer:

Does it usually go on to indicate a more serious underlying problem or is it usually self-limiting?

skindoctor2000 :

it is self limited

Customer:

One last questio

skindoctor2000 :

yes

Customer:

One last question. I was given an IV prior to surgery and then surgery itself lasted five hours. Could the nodes have become reactive during this time from the trauma, extra fluids, etc. before they were taken out?

skindoctor2000 :

no it will not occur soon

skindoctor2000 :

it takes time for reactive lymph nodes to be detected

Customer:

so this was some sort of pre-existing influence that made them reactive, then?

skindoctor2000 :

yes correct

Customer:

Okay, thank you very much !

Dr. Pravin, Physician
Category: Medical
Satisfied Customers: 1984
Experience: MBBS DNB
Dr. Pravin and 3 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.