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Doctor insights on: Hilar Lymphadenopathy Treatment

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Dr. Steven Ginsberg
988 Doctors shared insights

Swollen Glands (Definition)

Swollen glands = inflamed lymph nodes (doesn't actually ...Read more


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What causes lymphadenopathy? Blood and MRI all clear. Can I have any other treatment to reduce the glands?

What causes lymphadenopathy? Blood and MRI all clear. Can I have any other treatment to reduce the glands?

Many possiblities: Lymph nodes enlarge for many reasons, often because they are fighting inflammation, which is one of their primary functions, but they are also susceptible to primary tumors or metastatic malignancies, non-infectious granulomatous disorders like sarcoidosis and others. In order to determine the cause they may have to be biopsied, although a full evaluation of your health is warranted. Good luck. ...Read more

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Does the mediastinal lymphadenopathy and Hilar Mass mean that's metastasized?

Yes, regional metast: If this is a case of lung Cancer, then lymph node spread to the hilar areas and mediastinum means regional spread of cancer. This is still treatable but patient needs to go see a Cancer specialist (Medical Oncologist) at a recognised Cancer Center or Medical center where expert specialists who treat Lung Cancer would be more easily available. ...Read more

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What could cause a positive ANA titre of 1:320? Also hilar and mediasternal lymphadenopathy? Possibly related to each other?

What could cause a positive ANA titre of 1:320? Also hilar and mediasternal lymphadenopathy? Possibly related to each other?

My recommendation: 1. ANA, can be nonspecific. Positive usually reflect an autoimmune process such autoimmune hepatitis or SLE, etc. With titer of 1:320, I recommend you see a rheumatologist for further work-up. 2. Hilar and mediastinopathies are concerning. If CT report does raise a concern, you should see a pulmonologist as the first step. Not sure if the two is related or not at this point. ...Read more

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Does anyone know what cause bilateral hilar lymphadenopathy?

Does anyone know what cause bilateral hilar lymphadenopathy?

Links: Too long to answer here, however go to these links to read:
1) http://answers. Yahoo. Com/question/index? Qid=20100318134216aae7eif
2)http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc2429031/
3)http://www. Medscape. Com/viewarticle/460652_3. ...Read more

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Can hilar lymphadenopathy cause shortness of breath?

Can hilar lymphadenopathy cause shortness of breath?

YES: It can, but is more likely secondary to the etiology of the hilar adenopathy ...Read more

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Have u ever seen dilantin induced hilar/mediastinal lymphadenopathy?

Have u ever seen dilantin induced hilar/mediastinal lymphadenopathy?

I have not: Personally seen this but I can attest that is is a RECOGNIZED, well documented side effect of Dilantin!

Hope this is helpful

Dr Z ...Read more

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Had pnemonia, discussion on X-ray says. There is no pneumothorax. Impression says it is difficult to exclude hilar lymphadenopathy, is it from pnem?

Had pnemonia, discussion on X-ray says. There is no pneumothorax. Impression says it is difficult to exclude hilar lymphadenopathy, is it from pnem?

Most likely as there: Is a major lymph chain in the mediastinum & the lungs. Nodes enlarge as part of the immune systems response 2 infection. & yes it can B from pneumonia ...Read more

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What are some possible causes of bulky mediastinal lymphadenopathy (other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?

Sarcoid: Could cause adenopathy in those regions, as well as other granulomatous inflammatory processes. Infectious processes such as histoplasmosis could do it. Certain chronic exposures such as berylliosis and silicosis could cause mediastinal adenopathy, but usually the history and other findings make those diagnoses more obvious. Unfortunately, lymphoma is the major consideration in most cases. ...Read more

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I have pneumonia, my chest X-ray is showing a hilar mass or hilar lymphadenopathy. Would this be caused my the pneumonia?

I have pneumonia, my chest X-ray is showing a hilar mass or hilar lymphadenopathy. Would this be caused my the pneumonia?

Talk to your doctor: This is a potentially very severe situation. The adenopathy or hilar mass may be causing a post-obstructive pneumonia, or the hilar lesions and the pulmonary infiltrates may be part of a single entity such as sarcoidosis. This should be discussed at length with the doctor caring for you. ...Read more

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CT scan for PE (+) has comment "hilar or mediastinal lymphadenopathy is appreciated", can you please explain what this comment may mean?

Lymphadenopathy: Swollen, visible lymph nodes near your lungs. This requires ongoing medical evaluation and testing. ...Read more

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Mom had CT chest after having bronchitis showed Mild mediastinal & left hilar lymphadenopathy, they did biopsy it was neg, no symptoms, why biopsy again?

Mom had CT chest after having bronchitis showed Mild mediastinal & left hilar lymphadenopathy, they did biopsy it was neg, no symptoms, why biopsy again?

Biopsy: I do not know when the initial biopsy was done. However, although the nodes may be negative on the initial biopsy if the hilar nodes remain swollen or are enlarging that may warrant another biopsy. ...Read more

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What is the likelihood of lung cancer when CT scan shows pre-tracheal, subcarinal and right hilar lymphadenopathy. If cancer, is it stage 4 already?

What is the likelihood of lung cancer when CT scan shows pre-tracheal, subcarinal and right hilar lymphadenopathy. If cancer, is it stage 4 already?

Lung cancer: What did the CT show about the lungs and other organs?, That is usually the criteria for stage IV. Stage IV you have lung cancer in either more than 1 lung or lobe and another part of the body (liver, bone). Having cancer in lymph nodes can be stage II or III depending on size of the lung mass 3 cm. Biopsy would show cancer in lymph nodes, as they can also be enlarged due to inflammati ...Read more

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What are causes and treatments for reactive lymphadenopathy of the neck?

What are causes and treatments for reactive lymphadenopathy of the neck?

Reactive: Reactive lymphadenopathy is commonly referred to enlarged lymph nodes secondary to a different cause- most likely infection, allergies, trauma, sometimes drugs. It is not a disease of the lymph node. The treatment is generally directed towards its cause, if found. ...Read more

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What's the best treatment to get rid of enlarged lymph nodes?

What's the best treatment to get rid of enlarged lymph nodes?

Cause?: Treatment is dependent on the etiology/cause/diagnosis of the enlarged lymph nodes. ...Read more

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Swollen lymph nodes on neck - had them for about 3 months already. What is the fastest treatment for this?

Monitoring Centers: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad 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. 3 months requires evaluation. ...Read more

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What is the typical sequence of treatment with swollen lymph nodes and high wbc?

Depends on cause...: This could be due to an infection, or it could be do to a cancer (leukemia or lymphoma). Further testing can be performed to determine the cause. Once this is known, treatment can then be appropriately planned. ...Read more

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Will TB enlarged lymph nodes in the neck shrink completely after 6 month treatment. Completed two month treatment but d size didn't completely shrink?

Yes and bo: Ideally the lymph nodes resolve completely but sometimes they do not. This is not always a problem but The node should be checked by your doctor. ...Read more

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Enlarged lymph nodes under armpits. One is tender. Minor cold symptoms including scratchy throat. Previous anitbio treatment for sinusitis. No fever.

Enlarged lymph nodes under armpits. One is tender. Minor cold symptoms including scratchy throat. Previous anitbio treatment for sinusitis. No fever.

Needs evaluation: Prior antibiotic use doesn't preclude infection in another area, you may need another type of antibiotic, or other measures as per doctor's judgement, best wishes ...Read more

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What does bilateral hilar lympadenopathy and mediastinal ltmphadenopathy plus esophageal thickening mean?

Go see your doctor.: You didn't give your age. Younger patients can have sarcoidosis (this is not a cancer) which can cause enlarged lymph nodes. Thickening of the wall of the esophagus could be caused by chronic inflammation like from reflux. An endoscopy (looking into the esophagus) may be needed. ...Read more

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Multiple mildly enlarged lymph nodes in pre-paratracheal, subcranial & right hilar. Larget right paratracheal measures 26x18mm. No necrosis or calcifi?

Biopsy may be needed: Why was a CT done in the first place? If it was because you were feeling sick, then your doctor will probably want to figure out why you have these enlarged lymph nodes. That may take a biopsy. Generally speaking, enlarged lymph nodes are due to infection or cancer. (There are other rare causes.) ...Read more

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Enlarged lymph nodes in pre-paratracheal, subcranial & right hilar. Largest 26x18mm. No necrosis or calcifi. Came up in regular body check. No symptoms?

You need follow up: Enlarged nodes may be nothing, but could be serious. This requires you to see a physician. The person who ordered the study might be appropriate. At age 40 you should have a primary care doc. See him/her and if he refers to a specialist, follow up with that person. ...Read more