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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 46937
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
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I have had large lymph nodes for over 3 months more recent

Customer Question

I have had large lymph nodes for over 3 months more recent ultrasound shows growth in length but smaller otherwise do i need to push for a excusional biopsy all drs and telling me not to do anything
JA: Are you keeping a personal medical record while dealing with this?
Customer: Yes
JA: Anything else in your medical history you think the doctor should know?
Customer: No
Submitted: 2 months ago.
Category: Oncology
Customer: replied 2 months ago.
I am very concerned as all test proformed are not accurate in diagnosis of lymphoma
Expert:  Dr. David replied 2 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 2 months ago.

how old are you?

you had a biopsy which showed no cancer.

you don't have to have the lymph node cut out.

Customer: replied 2 months ago.
I have been informed fna biopsies dont show up lymphnoma and lymph nodes bigger then 1-2 cm are a issue and mine are all over 3cm
Customer: replied 2 months ago.
I have been having night sweats on and offf for the same amount of time since first tests
Customer: replied 2 months ago.
I am 35
Customer: replied 2 months ago.
Can you explain why the say there normal when they are above "normal size" on ultrasounds both times
Expert:  Dr. David replied 2 months ago.

that is not true

biopsy do show up lymphoma.

I am a cancer doctor. the biopsies show normal

enlarged lymph nodes can be from irritation if you are rubbing them or feeling them constatnly

or if they are reactive lymph nodes swelled up to help fight off infection.

Customer: replied 2 months ago.
They have gotten bigger in the 3 months since first tests have been done doesnt that warrant further investigation? How are sizes looked at?
Expert:  Dr. David replied 2 months ago.

do you rub and feel the lymph node often? this can cause it to swell up in 3 months.

sizes are looked at by ultrasound and given in 3 dimensions.

I am a cancer doctor who treats patients who have lymphoma.

biopsy of the lymph node is the way we diagnose lymphomas.

you don't have lymphoma

let me know if you have other questions.
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Customer: replied 2 months ago.
Why when size is what the look at would they not be worried that they have grow does l/s ratio actually have any bearing in diagnosing lymphoma. Can hormones or stresss cause any of this?
Expert:  Dr. David replied 2 months ago.

a few mm growth in one or two dimensions usually is not a worry.

stress can make you worried about lymph nodes containing lymphoma, even after you have had a biopsy which showed no lymphoma.

Customer: replied 2 months ago.
The 2 in question are on either side of groin they feel long hard and skinny like a ligament under the skin
Customer: replied 2 months ago.
Can stress or hormones make them be there?
Expert:  Dr. David replied 2 months ago.

no. lymph nodes are naturally there if you have stress or hormones or not

everyone has lymph nodes in the groin area

Customer: replied 2 months ago.
Does long axis / short axis have any medical evidence in regards ***** *****
Expert:  Dr. David replied 2 months ago.

no.

Customer: replied 2 months ago.
Would hormones or stresz cause them to react
Customer: replied 2 months ago.
being long ans skinny nodes can to rule out lymphoma then compared yo lymph nodes the are mych the same in regards ***** ***** axis
Expert:  Dr. David replied 2 months ago.

stress can cause you to touch and feel and rub the nodes which can cause them to swell up.

your biopsy of the nodes showing no lymphoma rules out lymphoma

Customer: replied 2 months ago.
There are lots of reports stating fna biopsys dont not always show lymphoma by size along they are concerning
Customer: replied 2 months ago.
Over 1-2cm is considered not normal why should i not need further tests
Expert:  Dr. David replied 2 months ago.

I am a cancer doctor.

I treat patients who have lymphoma.

I know what normal and not normal is.

your lymph nodes are normal.

get your lymph nodes cut out.

I bet they will not show lymphoma.