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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Lung Condition

Hi, may I answer your health queries right now ? Please type your query here... I am a 38 year old female who has had test run u can imagine whay is consistant is my wbc elevated neutrophils lymphocytes esr and crp esr 30 crp 50 went through all the infectious disease testing all rheumotology testing and nothing i have a genearlized lympadenopathy through out my body and now the lungs have become affected pet scan shows elevated suv counts in the lungs and the lymph nodes suspect of lymphoma i am worried what should the next step be?

Fri, 20 Oct 2017
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Internal Medicine Specialist,  's  Response
Hello,
I can understand your concern over this. The possibilities depend on the extent of lymphadenopathy. You are right that lymphoma is one of the (many) causes of lymph node enlargement. Depending on the pattern of lymph node enlargement, you will likely need a biopsy of a lymph node. If there are peripheral lymph nodes (like under the armpits, in the neck, or in the groin), these can be biopsied. This type of biopsy can be guided by ultrasound or CT scan. If the lymph nodes are only in the lungs, then these can be biopsied with bronchoscopy using a small ultrasound called EBUS (endobronchial ultrasound).
I hope this sheds some light on the issue.

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Suggest Treatment For A Lung Condition

Hello, I can understand your concern over this. The possibilities depend on the extent of lymphadenopathy. You are right that lymphoma is one of the (many) causes of lymph node enlargement. Depending on the pattern of lymph node enlargement, you will likely need a biopsy of a lymph node. If there are peripheral lymph nodes (like under the armpits, in the neck, or in the groin), these can be biopsied. This type of biopsy can be guided by ultrasound or CT scan. If the lymph nodes are only in the lungs, then these can be biopsied with bronchoscopy using a small ultrasound called EBUS (endobronchial ultrasound). I hope this sheds some light on the issue.