Medical Questions? Ask a Doctor Online!
When was the Breast Reduction Surgery performed and was the time gap between the surgery and the Fine Needle Aspiration Cytology testing done?
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.
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.
There are three distinct patterns of benign lymphadenopathy:
If you have no history of any of the above then you neednt worry
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?
no , reactions to pollen or dandruff cannot give rise to reactive axillary lymph nodes
if you have done all the tests and they have come normal , you shouldnt worry about it
Should I try to figure out what caused the initial reaction or is there no way to know this?
no now there would not be any way of finding out unless you have lymph nodes swollen on other side
Nodes were taken from both sides in the reduction and both sides showed "reactive." Is this common?
you shouldnt worry unless you get pain or swelling or weight loss
this is very common
Does it usually go on to indicate a more serious underlying problem or is it usually self-limiting?
it is self limited
One last questio
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?
no it will not occur soon
it takes time for reactive lymph nodes to be detected
so this was some sort of pre-existing influence that made them reactive, then?
Okay, thank you very much !