New here.
Hi, everyone. I'm new here.
For a while, I've been experiencing non painful lymph nodes. After talking to my GP, she referred me to the general surgery people in the practices network of offices
(They're all run by a local hospital)
They did some sonograms and recently it showed a difference that made them want to do a biopsy. I had many enlarged lymph nodes, but two had grown with thickened cortices/cortexes(unsure which term is correct)
I had the core needle biopsy last week, and they took five samples as opposed to four. After the core needle biopsy on the largest one (9mm with 5mm cortex), the results were that the CD20 immunostain was positive on small and mature lymphocytes. which prompted me joining here. Adipose and some other tissue was benign. (Regardless of whether I have cancer or not, I'm also here to support my mom w Lung cancer)
I'm no medical folk, so please be gentle and forgiving with me.
they got me in for CT scans with contrast to look at the head neck chest abdomen and groin. I just finished that today. Then the radiologist is going to read it, talk to my Dr, and they'll call me later today I guess. It seems pretty fast.
Anyway, I hope you all are having a good day and can maybe give me your own personal insights on this (I don't expect medical advice, I've been reading the rules as best as possible)
Have a good one!
boe2
Comments
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Welcome, boe
Luckily, your biopsy did not straightforwardly diagnose as lymphoma, but aspirational/IR biopsies are much inferior to excise (surgically removed) biopsies, particularily with blood cancers (Lymphoma, leukemia, Multiple Myloma)
Staining for the CD-20 antigen is very common in NHLs, and also in a variety non-cancerous of immunological disorders.
Depending on your CT results, your oncologist may request an excise biopsy.
Let us know how things go,
don
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Max is right. Also, needle aspirations can spread cancer. This happens mostly with solid tumors like carcinoma and is not so much of an issue with blood cancers. A lymph node is not necessary for lymphoma to create a tumor, called an extra-nodal tumor. I had several of this type of tumor. They responded well to therapy and went away. It is very important to see a cancer specialist.
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If you have multiple enlarged non-painful lymphnodes that can be shifted under your skin and if any of them are 2cm+ and persistent for 4+ weeks you should be scanned. If the needle sample indicates anything malign an actual biopsy is mandatory if all of the above applies. And any kind of CD20 reaction/positivity just underlines the above.
Follicular lymphoma for example is extremely hard to diagnose/confirm solely on a needle biposy even at advanced stages.0
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