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Doctor insights on: Must I Have Marrow Biopsy If Neutropenia And Lump In Neck

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Must I have marrow biopsy if neutropenia and lump in neck?

Must I have marrow biopsy if neutropenia and lump in neck?

Yes: A bone marrow biopsy is needed due to the presence of neutropenia if it is otherwise unexplained. In addition, the presence of the lump in the neck is worrisome and should be, if needed, biopsied. If the neck node is + for lymphoma a bone marrow would be required to see if there is lymphoma in the bone marrow. Hope this helps and good luck. ...Read more

Dr. Michael Engel
122 doctors shared insights

Neutropenia (Definition)

Defined numerically as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<500). Folks with severe neutropenia are at increased risk for bacterial infections. Mild to moderate, less so. The reason for neutropenia needs to be determined. Treatments range from observation to stem cell ...Read more


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Swollen lymph nodes in my neck and 1 on my collar bone and fevers for 3 years was diagnosis with low iron should i still be worried out cancer?

Swollen lymph nodes in my neck and 1 on my collar bone and fevers for 3 years was diagnosis with low  iron should i still be worried out cancer?

Lymphnodes: Lymphnodes should be monitored aggressively with your symptoms, especially with some in the collar bone area. you may benefit form scanning and even a biopsy to be safe. Best wishes. ...Read more

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Why would one have neutropenia and lump in neck?

Why would one have neutropenia and lump in neck?

May be unconnectedor: May not be related or could indicate a disorder suppressing neutrophils - e.g., lupus, lymphoma. ...Read more

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Can hlh leukemia or general leukemia be hereditary? I have symptoms and considering a biopsy of the lymph node in my groin or neck. Please let me know

Can hlh leukemia or general leukemia be hereditary? I have symptoms and considering a biopsy of the lymph node in my groin or neck. Please let me know

Rare, if at all: But do not use abbreviations...I do not know what hlh leukemia is! a simple blood test is the first step before you start thinking about a lymph node biopsy. So get a CBC and if it is normal, then you should feel that nothing like a leukemia is the cause of your symptoms! ...Read more

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Breast lump and axillary lymph node biopsy scheduled in 9 days. New lymph nodes in groin and sever pain in breast do I need to have the biopsy sooner?

Breast lump and axillary lymph node biopsy scheduled in 9 days. New lymph nodes in groin and sever pain in breast do I need to have the biopsy sooner?

Progression: Please call both your regular doc and your surgeon with this change. Nodes developing in other areas and the breast lump possibly increasing in size needs to be evaluated in the next few days. ...Read more

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I have been dx'd with scc of the skin. I know it has the potential to spread to lymph nodes. I have a pea size bump in armpit. Should I be concerned?

I have been dx'd with scc of the skin. I know it has the potential to spread to lymph nodes. I have a pea size bump in armpit. Should I be concerned?

Probably not: You gave no details about the scc or about yourself. Where is it? How old is it? How large? Ulcerated? Do you have an organ transplant? Hiv? Leukemia? Is the scc in an old burn scar? In a chronic ulcer? Most scc are easily cured and are not life-threatening. If they are on the lips, ears or genital areas they are more serious. If you have impaired immunity it is worse. ...Read more

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I just had an MRI on my breast and they report came back and said a lymph nodes on both breast 4 mm not sure if cancer would you do a biopsy ?

I just had an MRI on my breast and they report came back and said  a lymph nodes on both breast 4 mm not sure if cancer would you do a biopsy ?

Lymph: nodes can normally occur within the breasts. If there are no suspicious features, they are benign and require no further follow up. ...Read more

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I had a fna biopsy on my right side of neck. This was due to night sweats, fatigue, fever, and mass in neck. All results showed was moderate number of lymphocytes. Should we do more testing?

I had a fna biopsy on my right side of neck. This was due to night sweats, fatigue, fever, and mass in neck. All results showed was moderate number of lymphocytes. Should we do more testing?

Depends: upon how you are feeling! Your symptoms and physical findings (lymph node in neck =benign lymphocytes) all consistent with VIRAL infection..from which you should soon feel better....if not more tests are indicated! Hope this helps Dr Z ...Read more

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What to do if I have secondary breast cancer in my lymph nodes and bones?

What to do if I have secondary breast cancer in my lymph nodes and bones?

Sorry to hear thus: See your oncologist for a full review of the treatment options. Best wishes. ...Read more

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What to do if I have secondary breast cancer in my lymph nodes and bones?

What to do if I have secondary breast cancer in my lymph nodes and bones?

Oncologist: See your oncologist for a full evaluation & determination of the treatment options. ...Read more

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I have a swollen lymph node in the neck for two months now, fna biopsy negative of lymphoma. Breast and armpit sore and neck pain what is this?

Lymph nodes: Without adaquate tissue biopsy it is not possible o say for sure. FNA is never an acceptable test when evaluating lymphoma and the appropriate course is exceisional biopsy. ...Read more

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It is safe have surgery dealing with TB and Chronic granulomas??? I have 5.5 fibroid and Lymph node in my breast again needs be removed..worried maybe

It is safe have surgery dealing with TB and Chronic granulomas??? I have 5.5 fibroid and Lymph node in my breast again needs be removed..worried maybe

Safe: Yes surgery is safe, but that doesn't mean the risk is zero. And that low risk is for a group of people, not an individual. While the odds of a complication are very low, it is unpredictable for an individual. Ask your surgeons about the anticipated postop course, and what complications they have seen. If they say they've never had complications, find another surgeon. One that's honest. ...Read more

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If i had hodgkins disease would i be sick? I have shotty nodes in neck groin and armpit for year. Would the lymphnodes continue to enlarge? Worried

If i had hodgkins disease would i be sick? I have shotty nodes in neck groin and armpit for year. Would the lymphnodes continue to enlarge? Worried

Would increase...: Some lymphomas can be quite slow growing, but one would most likely see growth over a year. Additional symptoms that would be concerning would be unexplained fevers, unintentional weight loss, new easy bruising, new enlarged lymph nodes, or inability to lie down flat and breath comfortably. As mentioned before, biopsy is the gold standard for determining if lymph nodes are lymphoma. ...Read more

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Had a bone marrow asp and biopsy. Said abnormal female karyotype and these numbers in order. Add(14)(q22)(20). It was never explained. Could you help?

Need mor einformatio: You need to tell us about what made you go to see your doctor in the first instance and why was a bone marrow done? Unless you have some blood disorder, we can not interpret your chromosomal change(karyotype). You will be better off asking your doctor what it means now that he has given you this worry some report. ...Read more

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Please advise if it's ever "normal" to have knots/lumps in lymph nodes of neck?

Please advise if it's ever "normal" to have knots/lumps in lymph nodes of neck?

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. They shrink when all is well. ...Read more

Dr. Thiri Oo Dr. Oo
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Liver disease i was diagnosis with nafld in 05. Now I have pain in liver area along with purpura and petechia. Is it possible to be going into nash?

Dr. Thiri Oo Dr. Oo
1 doctor agreed:
Liver disease i was diagnosis with nafld in 05. Now I have pain in liver area along with purpura and petechia. Is it possible to be going into nash?

Go see doctor : It is possible. You should go see your doctor. If you have not been seen by liver specialist, you should see them. Make sure you don't have uncontrolled bleeding or change in mental status, etc. ...Read more

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I have enlarged lymph nodes in my chest ranging from 12.9-16.3mm, and what size should I be concerned or get a biopsy.

I have enlarged lymph nodes in my chest ranging from 12.9-16.3mm, and what size should I be concerned or get a biopsy.

Not now: A ln must get to be 2 cm (20 mm) to be considered enlarged. Based on your medication list you are being treated for infection. Ln "enlarge" as part of the healthy response to infection. No concern here. ...Read more

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I was recently diagnosed with Myositis I also have lymph nodes that are in my face & neck. One was removed for tests & some in chest . Sarcoidosis?

I was recently diagnosed with Myositis I also have lymph nodes that are  in my face & neck. One was removed for tests & some in chest . Sarcoidosis?

Sarcidosis: What Are the Symptoms of Sarcoidosis? The symptoms of sarcoidosis can vary greatly, depending on which organs are involved. Most patients initially complain of a persistent dry cough, fatigue, and shortness of breath. Other symptoms may include: Tender reddish bumps or patches on the skin. Red and teary eyes or blurred vision. Swollen and painful joints. Enlarged and tender lymph glands in the neck, armpits, and groin. Enlarged lymph glands in the chest and around the lungs. Hoarse voice. Pain in the hands, feet, or other bony areas due to the formation of cysts (an abnormal sac-like growth) in bones. Kidney stone formation. Enlarged liver. Development of abnormal or missed heart beats (arrhythmias), inflammation of the covering of the heart (pericarditis), or heart failure. Nervous system effects, including hearing loss, meningitis, seizures, or psychiatric disorders (for example, dementia, depression, psychosis). ...Read more

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When my physician provided a diagnostic code of icd-786.6, did he actually "feel" a swelling, lump, or mass in my chest? I complained to my physician of chronic chest pain. He palpated the area of concern and ordered a CT and blood work (cbc and esr). On

When my physician provided a diagnostic code of icd-786.6, did he actually "feel" a swelling, lump, or mass in my chest? I complained to my physician of chronic chest pain. He palpated the area of concern and ordered a CT and blood work (cbc and esr).  On

Hello. : Hello. Because this code is very general & can cover a lot of different findings, i don't know which one your phsyician had in mind. Code: 786.6 description: symptoms involving respiratory system and other chest symptoms: swelling, mass, or lump in chest. Excludes: lump in breast (611.72) some of these findings may be made through visual examination; or they could be palpated. ...Read more

Dr. Tiffanie Noonan
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


Dr. Sewa Legha
48 doctors shared insights

Lump At Front Of Neck (Definition)

Swelling prominent in anterior part of the neck, such ...Read more