Apr 11, 2013 - 8:54 am
Last week my dad had and ultrasound of the neck and the fine needle biopsy of one enlarged lymph node and here are the results.
But first a reminder: Dad finished tx (chemo/rads) for oropharingeal (BOT) cancer in September 2012. First CT in January showed that the cancer is gone, but one lymph node (2 x 1cm) still enlarged. They decided to wait as it could be still from rads. He then had an ultrasound of the neck last week. It showed that this node is still the same size, so they did a needle biopsy.
Result is that there is no result I guess .
So, the results say that on the left side of the neck in level II (where he had originaly enlarged nodes last year before tx and they were cancerous) there is hypoechoic lymph node (2x1 cm), of more solid consistency. Around there are other 5 to 7 mm oval lymph nodes. In thyroid there is 5 mm hypoechoic nodus.
Needle biopsy of the largest lymph node: peripheral blood elements, husks, debris. Material is not diagnostic.
Soooo, what does this mean? My mom called the ONC hospital and got one doctor who explained that it does not mean that there is cancer in those nodes. They can't prove that there is any cancer in them but they will monitor it now, so they sceduled him for May 8th for a check-up again.
I'm a bit confused, tried to get some more info... Here on this board I read that debris in sometimes common and that that node maybe means dead cancer cells. CT and ultrasound can't tell for sure if there is still cancer cells in them or not - only surgery and biopsy could or needle biopsy. But his needle biopsy was not succesful. What actually means hypoechoic?? Is it more likely to be cancerous?
Well, we'll just have to wait and see. It might be nothing as doctor said, they will monitor him closely and we'll see.
Thank you again for all the support!