Recently Answered Questions
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I am a stage 4 lymphoma cancer survivor. Why do I have tongue pain?
Query: Hi doctor,I am a stage 4 lymphoma cancer survivor. My eight rounds of chemotherapy treatment for stage 4 lymphoma were completed six months ago. My 2nd PET CT scan assessment with my treating oncologist was one month ago. PET CT scan showed no FDG intake and my treating oncologist said that I am in ... Read Full »
Dr. Bhadragiri Vageesh Padiyar
Answer: Hello, Welcome to icliniq.com. I can understand your concern. I had a detailed view of the pictures (attachments hidden to protect the identity of the patient) you sent. This does not seem to look like anything that you need to be worried about. Post-chemotherapy there could be some minor micro ulc... Read Full »
My cousin is diagnosed with Hodgkin's lymphoma. Please suggest.
Query: Hello doctor,A relative of mine recently got diagnosed with Hodgkin's lymphoma, and I am trying to wrap my head around it. Can you break down the prognosis for her? She is in her early 40s, and her health has been fairly routine until now. What are the chances of overcoming this, and what kind of jo... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. We cannot say about the prognosis because it depends on the progression of the disease if it is in a very late stage then the prognosis is poor but if she has good control of the Hodgkin’s lymphoma then the prognosis is better so we should ... Read Full »
Can my follicular lymphoma treated?
Query: Hello doctor,I had a physical test, and blood works done about six weeks ago. I told my doctor, I had a lump, or mass, under my right armpit. He checked it out, and then sent me for an ultrascan, and a needle biopsy. A week later the doctor, called and said it was follicular lymphoma which is a type... Read Full »
Answer: Hello, Welcome to icliniq.com. Do you have lymph nodes only in the axilla? If they are only in the axilla, it is treatable. This is stage one. In this stage, either chemotherapy or radiation therapy will be given. Do not worry too much. Did they say what type of Hodgkin's - B-cell or T-cell? If po... Read Full »
Kindly suggest further tests to rule out cancer.
Query: Hello doctor, Blood tests show high leukocytes of 12000 per microliter of blood with lymphocytosis and an elevated alkaline phosphatase at 162 u/L. Kindly suggest further tests to rule out cancers and lymphoma. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You need to repeat your CBC (complete blood count) after three to five days. If lymphocytes count is normal then the chances of cancer are very less. If lymphocytes count remains persistently high then further workup as follow. 1. Peripheral smear examination repor... Read Full »
My wife has recurrent dizziness and headaches. Please help.
Query: Hi doctor, My wife is 34 years old, and she is having recurrent dizziness and headaches. So, she got an MRI(Magnetic Resonance Imaging) scan of the brain. I have attached the reports for your better understanding. Your advice is much appreciated. Read Full »
Answer: Hello, Welcome to icliniq.com. Unfortunately, the report (attachment removed to protect patient identity) says that there is a mass in the brain, most likely a cancerous growth. IT is most probably a high-grade glioma or lymphoma. You will need to see a neurosurgeon, who will be able to examine her ... Read Full »
Does increase in lmphocyte count indicate leukemia or lymphoma?
Query: Hello doctor, I had a viral infection before two months with fever for five days and cough and increased mucus production for more than two weeks. On a follow-up visit with a PCP, I was given antibiotics for five days Azithromycin and antihistamine Levocetirizine to make sure there is no secondary i... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen your attached report. (attachment removed to protect patient identity). The lymphocytes are slightly elevated. The lymphocytosis seems most likely to be due to previous viral infection of the upper respiratory tract. The peripheral smear report not sho... Read Full »
What does symptoms like chronic swollen nodes with high CPR and eosinophils signify?
Query: Hello doctor, I am writing to you about my partner. She has had swollen lymph nodes for the past two years. Only other symptoms are high CPR and very slightly higher eosinophils. She had an ultrasound of her right side of the neck today, and I would like to know if you can see anything unusual. Al... Read Full »
Answer: Hi, Welcome to icliniq.com. Let me start with the right neck lymph nodes seen on the images (attachment removed to protect patient identity). They have a fusiform shape which is a good sign. They are mildly enlarged, the index one short axis measures 6 mm. Image 1: Lymph node with Doppler box, sh... Read Full »
I have inflamed and painful lymph nodes for many months despite normal blood reports. Why so?
Query: Hello doctor, I had inflamed and painful lymph nodes for a few months. I checked with a doctor, who advised me to take a few tests. My blood test shows high interleukin receptor 2 levels. Fine needle aspiration cytology of the inflamed lymph nodes showed benign changes. I am worried that I have lym... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I reviewed your reports (attachment removed to protect the patient's identity). There is no evidence of any lymphoma or any other neoplastic process. Interleukin 2 is a T Lymphocyte activation marker. In leukemi... Read Full »
I am having swollen lymph nodes in the abdomen. What could it possibly be?
Query: Hello doctor.I found swollen lymph nodes and a spleen in my abdomen, but no other symptoms were seen, and blood results were normal. I would like to know whether it is cancer. What else could it be if no infection is found?Please help Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Splenomegaly with swollen lymph nodes should always be investigated. Doctors will first try to rule out infectious etiology, and if no reason is detected, they will focus on ruling out malignancy. The following are som... 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 »
Answer: Hello, Welcome to icliniq.com. 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... Read Full »