What Does This Biopsy Report For Retroperitoneal Lymph Node Indicate?

Posted on Fri, 16 Jan 2015

Question: Hi Doctor,
My mother is 46 now.I have query regarding my mother health condition.Recently we have done biopsy for Retroperitoneal lymph node as suggested by the doctor, and reults came i.e
impression : Tuberculious lymphadenitis - retroperitoneal node
Please tell me what kind of treatment should we take and how long?
is it serious?
what diet plan my mother should follow?
Is there is any kind of food which should be avoided?
It is contagious ?
What are the side effects of medicines and how it should be avoided.
Is it permanently curable?
Iam really worried please reply as soon as posible.
Can you please provide me your contact number so we contact you asap.
Thanks.

Answered by Dr. Tushar Kanti Biswas (29 minutes later)

Brief Answer:
Tuberculosis is curable permanently,provided there is no drug resistance.

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

1. Your mother is suffering from Abdominal tuberculosis (Retroperitoneal tuberculous lymphadenitis).
Treatment is anti-tubercular treatment ,generally given for 9-12 months for extra-pulmonary TB.

2. There are no diet restriction currently; but it is important that she takes good nutritious diet.

3. Retroperitoneal tuberculous lymphadenitis is deep seated and it is not contagious,unless she has also pulmonary tuberculosis(TB) of open category (sputum for AFB +ve). You can discuss with her treating doctor to know her status.

4. Side effects of medicines depend on which anti-tuberculous drugs have been prescribed for your mother. Let me know what medicine is prescribed to her.

5. Tuberculosis is curable permanently,provided there is no drug resistance. Her treating doctor must know about this too.

You are welcome to forward your queries to HCM .

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Tushar Kanti Biswas (24 minutes later)

Hi Doctor
Thanks for the reply
How we will get to know that she has pulmonary tuberculosis(TB) of open category (sputum for AFB +ve).
In report it is mentioned that she has Retroperitoneal tuberculous lymphadenitis.
We will be meeting our Doctor tommorow as we have just got the reports.
I will let u know about the medicines given to her.
In between we are planning to shift from XXXXXXX to XXXXXXX Is it possible for my mother to shift from one place to another in a new environment or not?
Iam attaching the reports ..please have a look.

Thanks
Again

Answered by Dr. Tushar Kanti Biswas (6 hours later)

Brief Answer:
Extra-pulmonary tuberculosis

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Most probably your mother is not having pulmonary tuberculosis ;otherwise ,x-ray chest,HRCT chest would have shown this.
Open case can be detected by sputum examination for AFB (Acid fast bacillus)for consecutive 03 days.
Shifting a patient from XXXXXXX to XXXXXXX should not pose any problem, as the distance is short and she has no other co-morbidities (not mentioned any time).

New environment or sanatorium treatment is no longer practiced as there are very effective anti-tubercular drugs and the disease is completely curable in majority of the cases.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Tushar Kanti Biswas (27 hours later)

Hi

Good morning Doctor,
Here are the medicines prescribed by the doctor for 1 month :

1). Rcinex
2). Combutd
3). PZa ciba
4). Rabemac
5). A to Z OD

he also said to have LFT Test to be done after a month

Thanks

Answered by Dr. Tushar Kanti Biswas (1 hour later)

Brief Answer:
Anti-tubercular drugs

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Your mother has been given standard first line anti-tubercular drugs.
Major side effects of anti-tuberculous drugs are :
Rcinex(combination of Rifampicin & Isonex)
Rifampicin:
HEPA: Asymptomatic elevations of liver enzymes and hepatitis
Isonex:
CNS: Peripheral neuropathy;HEPA: Hepatotoxicity, including elevated serum transaminase levels
Ethambutol(Combutol):
Optic neuritis,Loss of colour vision .
Pyrazinamide(PZA)
HEPA: Hepatotoxicity. META: Gout; Arthralgia and myalgia.
However the side effects are uncommon and the drugs are mostly well tolerated

Pyridoxine administration: Prophylactic concomitant administration of pyridoxine (6 to 50 mg/day) is recommended to prevent isonex induced peripheral neuropathy. Cap A-Z contains only 3 mg Vit B6 i.e Pyridoxine .

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Hit thanks if it helps

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Above answer was peer-reviewed by : Dr. Yogesh D