Question 1

can fna diagnose low grade lymphoma? and what is smallest size of lymph node that can be fnad?

Accepted Answer

: For lymphoma, node resection is preferred but FNA can be used. In general, lymph node of less than 1 cm is rarely biopsied unless metastasized sentinel node is suspected. A lymph node of 1 cm or bigger can be easily sampled. Take care.

Question 2

are fna's - even w/ flow cytology - useless for diagnosing lymphoma?

Accepted Answer

Pretty much: Accurate histopathologic evaluation of lymphomas requires a tissue biopsy, preferably an intact lymph node. Fnas suggesting the presence of a lymphoma should be followed up with a definitive tissue biopsy. Some centers use fna as an initial screening test to determine if the patient's lymphadenopathy is a benign reactive form. The accurate diagnosis of lymphoma based on fna is not possible.

Question 3

3.5cm lymph node growing for years with no cause found. fna clear but doesnt rule out lymphoma/leukemia. doc removed an adjacent node of 1cm near the 3.5cm node which was clear.. he said this rules out lymphoma in the big nodes too.. is this true?

Accepted Answer

: usually.

Question 4

ive had slowly growing lymph nodes for 5 years the largest is now 3.5cm in my neck, im 27 my doctor did an fna of the largest two nodes and it was clear. he is confident this rules out lymphoma but i thought that fna isnt accurate at ruling it out?

Accepted Answer

: Our understanding of these indicators are being updated by new research. please go and see you encologist and get the most up to date advice.

Question 5

ive had a few lymph nodes swollen for 4 years now, slowly grew from 2cm to 3.5cm long. ultrasound shows normal characteristics. docs cant explain it, fna was clear and doctors are saying its fine. but cant fna miss lymphoma?

Accepted Answer

: Several reasons why lymph nodes may become swollen for an extended period of time. While lymphoma is a possibility, it is important to consider other potential causes as well. One explanation for persistent enlargement is a chronic infection. Certain infections, such as tuberculosis or HIV, can cause lymph nodes to remain swollen asymptomatic for years.

Question 6

is a pathology report from a fine needle aspiration diagnosis:  suspicious for non hodgkin's lymphoma.  favorable, follicular lymphoma, give enough in?

Accepted Answer

No: I wouldn't accept the diagnosis without cytogenetics and maybe flow cytometry in the absence of at least a core tissue biopsy.

Question 7

how is low grade lymphoma usually treated?

Accepted Answer

Still controversial: Current thinking is that if in early stages, it may be ok to just follow since it is so slow growing. May not cause a problem for years. If more advanced, currently chemotherapy combined with immune therapy (usually a monoclonal antibody called rituximab) is used. Most patients can achieve remission but the disease is currently not considered curable.

Question 8

low grade b cell lymphoma discovered in resected thymectomy. what's next? is this serious?

Accepted Answer

Chemo and radiation : Most likely next steps as determined by oncologist.

Question 9

what is low grade lymphoma, plus how is it treated?

Accepted Answer

Cancer of lymph cell: There are different types of lymphoma.  Low grade lymphomas develop and progress slowly, can be treated but only rarely cured, and are treated with immunotherapy, chemotherapy and or radiation therapy depending on the stage and location of the disease.  Living 10 years or more from diagnosis is not unusual.  Some patients are not treated at first, and may go years before needing treatment.

Question 10

can you please discuss low grade lymphoma and how is it treated?

Accepted Answer

Depends: Low grade or indolent lymphomas are those that usually grow very slowly and can be present for years before they are diagnosed. They are in essence chronic illnesses but are malignant nonetheless and can cause problems.  Often they do not require immediate treatment, but chemo or radiation are used to control symptoms when needed.  It depends on the circumstances.

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Doctor answers about:

Can low grade lymphoma be detected on fna

A member asked:

Can fna diagnose low grade lymphoma? and what is smallest size of lymph node that can be fnad?

A member asked:

Are fna's - even w/ flow cytology - useless for diagnosing lymphoma?

A member asked:

3.5cm lymph node growing for years with no cause found. fna clear but doesnt rule out lymphoma/leukemia. doc removed an adjacent node of 1cm near the 3.5cm node which was clear.. he said this rules out lymphoma in the big nodes too.. is this true?

A member asked:

Ive had slowly growing lymph nodes for 5 years the largest is now 3.5cm in my neck, im 27 my doctor did an fna of the largest two nodes and it was clear. he is confident this rules out lymphoma but i thought that fna isnt accurate at ruling it out?

A member asked:

Ive had a few lymph nodes swollen for 4 years now, slowly grew from 2cm to 3.5cm long. ultrasound shows normal characteristics. docs cant explain it, fna was clear and doctors are saying its fine. but cant fna miss lymphoma?

A member asked:

Is a pathology report from a fine needle aspiration diagnosis: suspicious for non hodgkin's lymphoma. favorable, follicular lymphoma, give enough in?

A member asked:

How is low grade lymphoma usually treated?

A member asked:

Low grade b cell lymphoma discovered in resected thymectomy. what's next? is this serious?

A member asked:

What is low grade lymphoma, plus how is it treated?

A member asked:

Can you please discuss low grade lymphoma and how is it treated?

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