Cancer of the lymphatic system, which comprises of lymph nodes and vessels that carry lymph fluid throughout the body, is called lymphoma. It can affect either the bone marrow, thymus, spleen, tonsils, or the lymph nodes. Here, the lymph nodes become swollen and tender.

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How do I know if my child has lymphoma?

Query: Hi doctor,My 7-year-old daughter has had an enlarged tonsil for the past two years. She has symptoms like sore throat, cough at night, and nasal congestion. We consulted an ENT (ear, nose, throat) specialist, where the diagnosis was lymphoma, and had a review after three months. She was prescribed w...  Read Full »

Dr. Faisal Abdul Karim Malim

Answer: Hi,Welcome to the image attached (attachment removed to protect the patient's identity), I would suggest you do the following;1. CT (computed tomography) scan of the neck and chest to evaluate lymphoma or tonsil.2. Start the child on syrup Augmentin DDS (Amoxicillin and Clavulanic a...  Read Full »

Please explain the cause and treatment for hypopigmented mycosis fungoides.

Query: Hi doctor, A 9-year-old girl's biopsy report reads like this. I would like to know the cause and treatment. Biopsy shows sparse superficial perivascular infiltrate of lymphocytes. The epidermis shows slight psoriasiform hyperplasia and infiltration by numerous small and large lymphocytes without m...  Read Full »

Dr. Charu Bansal

Answer: Hi, Welcome to Mycosis fungoides is a type of cutaneous T-cell lymphoma, meaning abnormal proliferation of T cells in our skin. As such, there is no well definite cause. An interplay of various factors causes it. There are aberrations in the chromosomes triggered by a persistent antig...  Read Full »

Can chemotherapy drugs cause heart damage and tachycardia?

Query: Hi doctor,In 2017, a mediastinal mass was found in my body and I was diagnosed with lymphoma. One year after the treatment, I started having a lot of fatigue and tachycardia like 160 bpm at rest, and my blood pressure was mostly low (70/40 mmHg).Now, I am taking the tablet Ivabradine 7.5 mg and the ...  Read Full »

Dr. Arpit Varshney

Answer: Hello,Welcome to is a possibility that the chemotherapeutic drug might have had some side effect on your heart. For that, I will need to know all the medications you had taken and all the CT (computed tomography) and blood reports of the heart, then only I can comment upon your ill...  Read Full »

Is an allogenic bone marrow transplant the best treatment for AITL?

Query: Hello doctor, I hope you are doing well. My 53-year-old brother was diagnosed with AITL four years ago. He received numerous chemotherapies and heavy steroid treatment. But nothing helped. Then he got the first stem cell transplant (autologous) three years back. Unfortunately, that was unsucce...  Read Full »

Dr. Abdul Aziz Khan

Answer: Hello, Welcome to Thanks for your query. As it is not a common disease, we usually follow the standard guidelines for treating patients. And your cousin has received the treatment as per the guidelines. Regarding bone marrow transplant, if it is successful, then the disease and its ...  Read Full »

My testicular ultrasound shows multiple solid nodules. Is biopsy needed?

Query: Hi doctor, I have had an ultrasound on my testicles and found multiple solid nodules or lumps and lesions in both testicles. He strongly suspects germ cell tumors. I have had blood tests done, and tumor markers and everything else is normal. I will be seeing a urologist in about two weeks. Do I have...  Read Full »

Dr. Arvind Guru

Answer: Hi,Welcome to testicular mass is treated as cancer unless proven otherwise. That is why it is advised to evaluate the lesions found by patient or ultrasound by surgical removal and detailed pathological examination.Whereas for most other sites, the biopsy is possible. The biopsy is n...  Read Full »

Are the lymph nodes on both sides of the groin enlarged due to follicular lymphoma?

Query: Hi doctor, I have few lymph nodes on both sides of my groin for one year, but there is no pain in the groin and abdomen. Chest CT scan showed few subcentimeter lymph nodes in the stomach, mesenteric and is non-specific. However, other CT findings are normal, with no fever, weight loss, or other sym...  Read Full »

Dr. Parth R Goswami

Answer: Hello, Welcome to I can understand your level of confusion about transformed lymphocytes. Transformed lymphocyte means enlarged lymphocyte nucleus and prominent nucleoli. So, it will resemble a blast or malignant lymphocyte-like cell. But transformed lymphocytes do not always mean lym...  Read Full »

What are lymphomas and how are they treated?

Query: Hi doctor, I have few lymph nodes on both sides of my groin for the past year, and there is no pain in the groin. There are no other lymph nodes in the body with pain, no fever, weight loss, or any other symptoms. I took antibiotics, but it did not work. My CBC and other blood tests are normal. My...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to I went through the investigation report (attachment removed to protect the patient's identity), you sent. I found no clue about lymphoma. It seems reactive nodes to some local viral infection of the urogenital tract. It might be due to post-vaccination. All vaccines e...  Read Full »

When to worry about enlarged tonsils?

Query: Hi doctor,Based on the attached picture, should I be concerned about my tonsil? Should I get it evaluated for cancer?  Read Full »

Dr. Shyam Kalyan. N

Answer: Hi, Welcome to In the picture you sent(attachment removed to protect patient identity), the right looks quite big compared to the left. The left does not even appear to be there. Now whether you need to get it evaluated for cancer will depend on certain factors. 1. Your age - as I s...  Read Full »

Do all pleural effusions need pleurodesis?

Query: Hi doctor, The patient is a 52 years old female. 25 days ago, core biopsy of retroperitoneal lymph node non-Hodgkin's mature B cell lymphoma diffusely positive for CD10, CD20, BCL6 and BCL12. Bone marrow biopsy showed erythroid hyperplasia with focal micronormoblastic maturation. She is suffering wi...  Read Full »

Dr. Bharat Patodiya

Answer: Hello, Welcome to Thank you very much for being specific in what you want to ask. For lymphoma associated effusion, we do not suggest pleurodesis (procedure to remove excess fluid in pleural space) as most of the patient responds to chemotherapy. One cycle is a short time to know if the...  Read Full »

Can you please explain my father's test results?

Query: Hi doctor, My father is 78 years old. He generally maintains good health except being diabetic for the last two years. However, since last once month his WBC, urea and creatinine values are abnormally high indicating kidney malfunctioning. He has lost 4 to 6 kg in the last three months and his appe...  Read Full »

Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Diabetes appears to be in good control. However, due to renal disease, blood pressure must be high. He is on multiple medications for blood pressure for no...  Read Full »

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