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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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In Remission For Hodgkins Post Stem Cell Transplant, Have Noticed Nodes Above Armpits, Elevated ESR. Cause Of Worry?

I am a known case of Hodgkins disease in complete remission for 10 years post stem cell transplant. I noted 3 nodes earlier this month one just above armpits and two on foreceps earlier this month. All 3 have reduced significantly since being noted. I did a CBC count, all parameters seem normal except ESR which is elevated to 27. LAst month the same report had counts of 19 for ESR and 10 for EOS (only abnormal results). Is this something to be worried. I have a history of blocked nose and recurrant coughs
Tue, 29 Jan 2013
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Oncologist, Radiation,  's  Response
Hi,
In a disease like hodgekins ( a form of malignancy) every person should be kept in follow up and every symptom and signs to be judged with great caution. your lymphoma was cured 10 years back. at this stage chance of relapse are quite less but chance of developing second cancer as a result of treatment is more. again your lymph node may be due to infection as the other reports are normal . if lymph nodes are persisting an excision biopsy will help to diagnose. consult hematologist.
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In Remission For Hodgkins Post Stem Cell Transplant, Have Noticed Nodes Above Armpits, Elevated ESR. Cause Of Worry?

Hi, In a disease like hodgekins ( a form of malignancy) every person should be kept in follow up and every symptom and signs to be judged with great caution. your lymphoma was cured 10 years back. at this stage chance of relapse are quite less but chance of developing second cancer as a result of treatment is more. again your lymph node may be due to infection as the other reports are normal . if lymph nodes are persisting an excision biopsy will help to diagnose. consult hematologist.