Question 1

history of ca breast in 2008. found multiple ill defined nodules in bilateral lungs which are pleural based. can it be metastatic lymphadenopathy ?

Accepted Answer

Needs attention: Breast cancer can recurr, so this needs to be carefully assessed and monitored. Pleural based densities can be old inflammatory changes or new..So a caomparison with older x-rays/scans should be done to determine if they are new. In either case, a repeat study shou;ld be done in 2 months to look for further growth. A pet scan can also determine if this change is likely to be cancer related or not.

Question 2

result of ct scan states " findings are mediastinal lymphadenopathy and soft tissue nodules both lungs in all segments(extensive metastatic disease) "?

Accepted Answer

Very concerning...: These findings are extremely concerning and you need to discuss this with your healthcare team.  You will likely undergo more tests and referrals to specialists who will provide you more detailed answers than what I am able to do.  Do not delay.

Question 3

i had metastatic papillary cancer 3 yrs ago. i now have 2  enlarged lymph nodes 1.7 cm and 1.5 cm. gp is worried but hospital is not what would you do?

Accepted Answer

More eval: Where are those lymph nodes located? Where was the location of your metastatic disease?
I would consider i-131 whole body scan and blood work- and see if  those lymph nodes would glow or not on the scan. Discuss further with your oncologist orwhoever  doctor treating you for your thyroid cancer.

Question 4

could an eye orbital mass be metastatic lung cancer from a 11 mm lung nodule, with no swollen glands or other evidence of cancer?

Accepted Answer

Time has taught me..: ..That with cancer almost anything is possible. That said, it would be unlikely for a 1cm lung "nodule" to go only to the orbit, especially if it is not proven to be cancer. I would suggest you discuss this with your doc (there may be details he/she knows that we don't) but seems to me that further imaging or maybe a biopsy are considerations if either of those 2 lesions are suspicious enough.

Question 5

dr said i have oral thrush. just started nystatin. my throat feels like there is a lump in it. kind of scared because i have metastatic breast cancer. is the lump feeling normal? no swollen lymph nodes just red throat and lump feeling?

Accepted Answer

: Thrush may occur due to immune disorders. There is treatment available. Discuss Nystatin topical solution with your physician. Discuss vaccines to prevent infection, and a virtual consult with Healthtap is available.

Question 6

approach to a patient with lymphadenopathy?

Accepted Answer

Varies: Depends on many factors like number of nodes, size, location, evidence of concurrent infection, and other symptoms. It should always start with a good history and physical exam. After that, a doc may wish to observe for a while or proceed with scans and/or biopsy. Good luck.

Question 7

what is a right internal mammary lymphadenopathy?

Accepted Answer

Substernal node diss: In previous years when large malighancies 5 cm or greater were common in medial breast , internal mammary node dissection employed by Urban. Here costochodral junctions from T2-T4 were removed with medial rt. sternum, exposing internal mammary nodes  for removal This, without chemo did improve survival about 10%. if left, these nodes remained substernally eventually ulcerating sternum.i

Question 8

how do you distinguish reactive and malignant lymphadenopathy?

Accepted Answer

Bipspy: and blood testing. A frozen section biopsy specimen will be diagnostic and blood testing will be helpful.

Question 9

what is the difference between lymphadenopathy and lymphadenitis?

Accepted Answer

No difference: Both of these terms are used interchangeably. They mean that the lymph nodes are enlarged due to some pathology.You need to have a doctor to explain the reasons why the nodes are abnormal...often it is an infection in the throat in case the nodes in the neck are affected.

Question 10

how can lymphadenopathy  be differentiated on clinical grounds.common causes ?

Accepted Answer

Some causes listed..: Lymphadenopathy is a term used to describe palpable lymph nodes. This usually means that the nodes are enlarged. They may or may not be pathological.
The common causes are infection especially throat infections and foot infections. Cancer can affect the nodes too. What helps us to determine the cause is the size of nodes, how many are enlarged and if they are painful or painless. Tell us more....

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Doctor answers about:

Metastatic lymphadenopathy definition

A member asked:

History of ca breast in 2008. found multiple ill defined nodules in bilateral lungs which are pleural based. can it be metastatic lymphadenopathy ?

A member asked:

Result of ct scan states " findings are mediastinal lymphadenopathy and soft tissue nodules both lungs in all segments(extensive metastatic disease) "?

A member asked:

I had metastatic papillary cancer 3 yrs ago. i now have 2 enlarged lymph nodes 1.7 cm and 1.5 cm. gp is worried but hospital is not what would you do?

A member asked:

Could an eye orbital mass be metastatic lung cancer from a 11 mm lung nodule, with no swollen glands or other evidence of cancer?

A member asked:

Dr said i have oral thrush. just started nystatin. my throat feels like there is a lump in it. kind of scared because i have metastatic breast cancer. is the lump feeling normal? no swollen lymph nodes just red throat and lump feeling?

A member asked:

Approach to a patient with lymphadenopathy?

A member asked:

What is a right internal mammary lymphadenopathy?

A member asked:

How do you distinguish reactive and malignant lymphadenopathy?

A member asked:

What is the difference between lymphadenopathy and lymphadenitis?

A member asked:

How can lymphadenopathy be differentiated on clinical grounds.common causes ?

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