Lymphoma: Early Detection and Treatment Concerns - Oncology

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I don't want to give up on my lymphoma issues; I want to focus on early detection and early treatment?


Hello Doctor: Before I received your response, I underwent a core needle biopsy yesterday.
The doctor I consulted is a hematologist-oncologist, and the report will not be available until the week after next (the doctors seem to think there is no urgency in my case, as they believe it is likely a viral infection rather than cancer).
I am very worried.
I wonder if my diarrhea (I noticed a lot of food residue in my stool) and significant weight loss are related.
Initially, I only felt one lymph node, but it has now become a cluster.
Besides lymphadenopathy, common signs of lymphoma, my temperature has been between 37-37.5 degrees Celsius.
A few nights ago, I woke up sweating, possibly due to the heat, which hadn't happened before.
The weather has been cold lately, and my weight has decreased.
I am unsure if this is due to cancer or indigestion.
I have the following questions for you, Doctor:
1.
Will a viral infection resolve on its own without medication? It has been about a month already.
2.
What possible connection could there be between my diarrhea and lymphadenopathy? I found that the small intestine can also have lymphadenopathy.
3.
If my lymph nodes seem to have shrunk a bit, could it still be lymphoma?
4.
If it is lymphoma, does it spread quickly? While waiting for the possibly inaccurate core needle biopsy report, is there anything I can do? I have to wait another two weeks.
I have already consulted both National Taiwan University Hospital and Chang Gung Memorial Hospital, primarily seeing doctors at Chang Gung.
I do not want to die young; I am extremely anxious.
Please respond, Doctor.
Thank you.

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(Here are the questions I asked last time)
Question: Hello Doctor, about a month ago, I felt a small lymph node on the right side of my neck.
It did not shrink after taking antibiotics and gradually became swollen into a cluster of varying sizes.
I have not felt anything on the other side of my neck or other areas.
The doctor at Chang Gung Hospital said my blood tests were normal, and my LDH levels were also normal, advising me not to worry, suggesting it might be a common condition in young women (but did not specify what condition).
If I am concerned, I could undergo a core needle biopsy.
Additionally, my temperature has been around 37-37.5 degrees Celsius for two weeks, but the doctor said this does not constitute a fever.
I have also experienced diarrhea, but the doctor said it is unrelated, which I find quite strange.
Should I still consider having a core needle biopsy? Is the diagnostic rate of a core needle biopsy high? Or could it be splenomegaly or hepatomegaly? I have been seeking medical attention for over a month, but my symptoms remain the same, and I am very anxious.

Your response: You suggested I see a hematologist-oncologist and advised against having a core needle biopsy.

c, 20~29 year old female. Ask Date: 2016/11/11

Dr. Hu Ziren reply Oncology


Hello, online friend: It sounds more like a viral infection.
Typically, viral infections resolve on their own.
During this time, make sure to replenish your strength (such as getting enough sleep) and maintain a normal diet, while you wait for the pathology report.
By Dr.
Hu Zi-ren.

Reply Date: 2016/11/11

More Info


Lymphoma is a type of cancer that originates in the lymphatic system, which is part of the body's immune system. It occurs when lymphocytes, a type of white blood cell, become malignant and proliferate uncontrollably. There are two main types of lymphoma: Hodgkin lymphoma and non-Hodgkin lymphoma, each with distinct characteristics and treatment protocols.
Your concerns regarding your father's diagnosis of lymphoma are completely valid, especially considering the emotional and physical toll that cancer can take on both the patient and their loved ones. The symptoms of lymphoma can vary widely but often include swollen lymph nodes, fever, night sweats, unexplained weight loss, and fatigue. In some cases, patients may also experience pain or discomfort in the affected areas.

Regarding treatment, the approach to lymphoma can differ significantly based on the type and stage of the disease. Early-stage lymphomas often have a good prognosis, with many patients achieving remission through treatment. The treatment modalities typically include chemotherapy, radiation therapy, and in some cases, targeted therapies or immunotherapy. Chemotherapy is often the first line of treatment, especially for aggressive forms of lymphoma, while radiation therapy may be used in conjunction with chemotherapy or as a standalone treatment for localized disease.

The prognosis for lymphoma can be quite favorable, particularly for early-stage cases. The five-year survival rate for early-stage Hodgkin lymphoma, for instance, can be as high as 90%. Non-Hodgkin lymphoma has a more variable prognosis depending on the specific subtype and other factors, but many patients can achieve long-term remission with appropriate treatment.

It's important to note that while the prospect of treatment can be daunting, many patients find that they can manage side effects with the help of their healthcare team. Modern medicine has made significant strides in improving the quality of life for cancer patients, and supportive care options are available to help alleviate pain and discomfort during treatment.

As for your father's specific case, it is crucial to maintain open communication with his healthcare providers. They can provide tailored advice based on his individual health status and the specifics of his lymphoma diagnosis. It is also advisable to avoid relying on unproven alternative treatments, as these can delay effective medical care.

In terms of your own health concerns, it is understandable to feel anxious while waiting for test results. The symptoms you describe, including the swollen lymph nodes and gastrointestinal issues, warrant further investigation. While it is possible that these symptoms could be related to a viral infection or another benign condition, the persistence of your symptoms and the changes in your lymph nodes should be taken seriously.
If your lymph nodes are decreasing in size, this could be a positive sign, but it does not entirely rule out lymphoma or other conditions. Lymphoma can sometimes present with fluctuating symptoms, and it is essential to follow up with your healthcare provider for further evaluation. The fine needle aspiration (FNA) you underwent is a common diagnostic tool that can help determine the nature of the lymphadenopathy. While no test is 100% accurate, FNA can provide valuable information and guide further management.

In the meantime, focus on self-care and managing your anxiety. Engaging in relaxation techniques, maintaining a healthy diet, and seeking support from friends, family, or mental health professionals can be beneficial during this uncertain time. Remember, you are not alone in this journey, and there are resources available to help you navigate your concerns.
Ultimately, the best course of action is to continue working closely with your healthcare team, who can provide the most accurate information and support tailored to your specific situation.

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