Doctor insights on:
Dermatopathic Lymphadenopathy Treatment
2 groin lymph nodes excised both dermatopathic lymphadenitis features. Had razor burn rash before lymph nodes appeared is this why dermatopathic?
Unusual: Unusual to remove lymph nodes from groin unless pain, drainage, rapid growth, rock-hard consistency. The term is meant to convey the idea of lymph node reaction to something in skin. Perhaps, even probably, the inflammation after shaving was the cause. The DR who did the surgery should check your feet, etc., then discuss this with you. ...Read more
Mesenteric lymph node bx showed possible reactive lymphoid process.Now Oncology consult due to mult.enlarged lymph nodes/lung nodules.Being cautious?
Yes: Plan for a normal future. These biopsies are often difficult and you'd do well to have a few pathologists look at it. ...Read more
CT-Thorax extensive mediastinal lymphadenopathy with central caseation ,tuberculous lymphadenopathy to consider skin test,blood cultural neg itisTB?
Common things common: In India, there is a high prevalence of TB. With those imaging findings, I would be very suspicious of that. Good you're en route to getting a diagnosis and treatment. Of course it could be other diseases, but TB would be at the top of my list. You are young and should be able to pull through this. Keep fighting! ...Read more
Depends: For early stage disease, it's usually 2-4 cycles abvd w/ involved site radiation. For advanced disease, it's at least 4-6 cycles of abvd or even beacopp with radiation reserved for sites of bulk disease. For relapse, new drugs like Adcetris (brentuximab vedotin) are in use as are the option of transplant. ...Read more
2 groin lymph nodes excised both path showed dermatopathic lymphadenitis features. Had razor burn rash before lymph nodes enlarged is this why path?
Yes: Irritative, contact, active dermatitis like metal-allergic reactions or erosive abrasions on skin adjacent to lymph nodes elicit dermatopathic lymphadenitis; a benign condition characterized by pathology showing abnormal nodes with entrapped pigments cellular producs inside immune protective/scavenging cells, big enough, to cause swelling and typical self limiting immune reactions. ...Read more
Often unexplained: Most young adults have at least one palpable lymph node in the neck, and if it's sampled, it usually shows follicular hyperplasia. We usually don't find the cause and assume it was just a though node fighting germs. If a cause is found, it's often hiv, rheumatoid arthritis, syphilis, toxoplasmosis, or common variable immunodeficiency. ...Read more
Monitoring Centers: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells/digested food. Lymph nodes "taste" the lymph everywhere for bad stuff like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
Extensive mediastinal lymphadenopathy with central caseation tuberculous lymphadenopathy to be considered. pl let me know this TB disease?
Integrative oncology: Most oncologists consider legitimate therapies those that are safe, effective & published in high quality peer reviewed journals. There are many therapies that may be effective as complimentary therapies (not used 'in place of' a conventional treatment. ) this is practiced by providers of integrative oncology. www.integrativeoncology-essentials.com. ...Read more
Monitoring Centers: The lymphatic system absorbs/carries things too big to go into arteries and veins like bacteria eaten by white cells and digested food. A lymph node "tastes" the lymph to see if anything bad is there like bacteria, viruses, cancers, etc. When it detects a problem, it alerts the immune system and enlarges in response to the inflammation they create when they react. They shrink when all is better. ...Read more
R-CHOP: The most common regimen is r-chop (rituximab, cytoxan, adriamycin, (doxorubicin) vincristine, prednisone). Other options are epoch-r, a clinical trial. There are several regimens, but the most common regimen is r-chop. It also varies on the stage of the disease. Hope this helps. ...Read more
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