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A 28-year-old female asked:

Mediastinal adenopathy & left hilar adenopathy only with no other symptoms other than adult onset asthma 4 months ago?could this be cancer 51nonsmoker, clean mamagram 2, please what else could it be

3 doctor answers5 doctors weighed in
Dr. Thomas Knecht
A Verified Doctoranswered
32 years experience
Lymphadenopathy: Hi. Yes, this could be cancer. You need tissue for diagnosis. Lung cancer is possible (second hand smoke, radon trapped in house, etc), but so is lymphoma. Your doctor will refer you for a biopsy (probably transbronchial), then you'll know if it's benign or malignant. Good luck!
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Ed Friedlander
Pathology 45 years experience
Leave it alone: If you have no symptoms, the radiologist is just commenting on a few big lymph nodes. There's no figuring out why one person gets a big spleen or a big set of nodes somewhere. These are very unlikely to be anything at all, and if they are, there's no reason to chase down an answer at risk to yourself to make the call early, unless the masses are huge (your physician's call).
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Ed Friedlander
Pathology 45 years experience
Provided original answer
The workup is, of course, at your physician's discretion. Best wishes.
Jul 22, 2014
Dr. Michael Gabor
Diagnostic Radiology 34 years experience
There are a number: of causes of mediastinal adenopathy. Inflammatory processes, infections, sarcoid and other granulomatous processes, to name a few. Unfortunately, lymphoma and other neoplasms can do it too. You need to follow-up with your physician to determine the cause of the adenopathy.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 4, 2016

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