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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It To Be Concerned About A Lump Under The Arm?

I received a message from my son, 45, in Atlanta. He reported that his AST=53 and the ALT = 58. He also has reported a lump under his left arm. I suggested that he stop taking all his various supplements and drink lots of water for the next two weeks before repeating labs. I recommended that he see a hepatologist for the elevated AST and ALT but don t know who to recommend for the swollen probably lymph node. I am a PhD in the biological sciences, worked for Baxter Healthcare, and am a 16+year bilateral lung transplant recipient and 2+ year kidney transplant recipient so I have learned a lot about lungs, kidney and pancreas.
posted on Sat, 28 Jun 2014
Twitter Tue, 20 Jan 2015 Answered on
Twitter Wed, 21 Jan 2015 Last reviewed on
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Hematologist,  's  Response
Hi, dear
I have gone through your question. I can understand your concern. He has only mild increase in ast and alt level.
It could be due to some viral infection, alcohol, drugs or toxins. He should repeat his liver function test after a week. He may have some enlarged lymphnode. It may be due to reactive hyperplasia, tuberculosis or lymphoma. He should go for fine needle aspiration cytology of that lump. It will give perfect idea regarding cause.
Then he should take treatment accordingly.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Is It To Be Concerned About A Lump Under The Arm?

Hi, dear I have gone through your question. I can understand your concern. He has only mild increase in ast and alt level. It could be due to some viral infection, alcohol, drugs or toxins. He should repeat his liver function test after a week. He may have some enlarged lymphnode. It may be due to reactive hyperplasia, tuberculosis or lymphoma. He should go for fine needle aspiration cytology of that lump. It will give perfect idea regarding cause. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.