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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ultrasound Showed Bilateral Enlargement In Supraclavicular Lymph Nodes, Elevated ESR, LDH. Chances Of TB Or Lymphoma?

Hello i am 26 years old , not known to have any mediacal illness , recently i discovered enlarged lymph node in the left side , i had neck ultrasound which showed bilateral enlargment in supraclavicular lymph nodes with left larger in size , i had chest x-ray as well and it was normal , also the abdomen ultrasound was normal , my ESR is 35 mm/hr (refrence range 0-20 mm/hr ) , LDH is 180 U/L (refrence range 125-220 u/L ) , CBC all normal , ALT and AST Normal , what the chances that i have TB or lymphoma ? is this LDH normal for my age ? thank you . thanks for your answer , but could cancer happen without elevating HDL ?
Sat, 18 Aug 2012
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Yes, you may have TB or lymphoma. You should go for PBF and excision biopsy of lymph nodes.
This will clear the picture. In case of any doubt, you can go for bone marrow biopsy.
You should consult with physician and hematologist.
Thanks,
Dr. Mayank Bhargava
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Ultrasound Showed Bilateral Enlargement In Supraclavicular Lymph Nodes, Elevated ESR, LDH. Chances Of TB Or Lymphoma?

Hi, Thanks for posting your query. Yes, you may have TB or lymphoma. You should go for PBF and excision biopsy of lymph nodes. This will clear the picture. In case of any doubt, you can go for bone marrow biopsy. You should consult with physician and hematologist. Thanks, Dr. Mayank Bhargava