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Thread: “Lymph node” ultrasound

  1. #1
    Join Date
    Dec 2014
    Posts
    97

    Unhappy “Lymph node” ultrasound

    This is going to be a little bit confusing and long winded so please hang in there. In 2019 I found a lump in the left side of my neck and at the time it was really long and thin so I wasn’t too worried about it because if it was a lymph node that meant it felt reactive because it was so oval and thin so I didn’t see a doctor. Fast forward to last week I’ve been poking it often on for the last two years probably a couple times a day every day and now it feels a lot larger well back in 2016 I had a CT of my neck for another lymph node in the results came back as an almost 2 cm out of my neck but the results said most likely reactive and nothing was ever done.

    Wednesday I finally got the ultrasound for it and when I went to get it the text said she couldn’t find a lymph node and said all she saw was muscle and fat and tissue which I thought was insane because this thing is pretty big like it feels almost like a grape sometimes and even the radiologist came in at one point and said yeah it looks like it’s basically some fat and tissue a.k.a. a lipoma. But my fear is it’s basically the same measurements as a 2016 lymph node that they found on my CT and it’s actually cancer and nothings been done about it I’ll copy and paste my results here I guess my question is do you think you could be wrong on ultrasound and the lymph node is hiding under the fat or lipoma or is that stupid and irrational of me?



    By the way the doctor that ordered the ultrasound is an oncologist hematologist my doctor finally got tired of me whining and sent me to him and he assured me it’s not lymphoma but you know how our minds think

    Ultrasound from Wednesday
    #############################################
    ############## F I N A L ##############
    ############################################
    EXAM: US HEAD NECK SOFT TISSUE

    REASON FOR EXAM: Head and neck lymphadenopathy

    COMPARISON: None.

    FINDINGS:

    There is no evidence of lymphadenopathy in the left neck.

    A subcutaneous mass is visualized in the region of palpable concern measuring 1.6 x 0.5 x 1.9 cm. This demonstrates similar echogenicity to adjacent subcutaneous fat, without evidence of internal vascularity.

    No suspicious soft tissue mass is visualized.

    IMPRESSION:
    IMPRESSION:
    1. Low-grade lipomatous lesion measuring up to 1.9 cm, corresponding with the area of palpable concern.
    2. No evidence of lymphadenopathy or suspicious soft tissue mass.



    Ct OF NECK 10/27/2016

    Lymph Nodes: Left jugulodigastric node is minimally enlarged measuring 18 x 11 mm transversely with a vertical height of 15 mm. Other nodes are clearly normal in size.

    Soft Tissue Mass / Abscess: None present.

    Other Incidental Findings: None of significance.

    IMPRESSION:
    IMPRESSION:

    1. Slightly enlarged left jugulodigastric lymph node is present which is a nonspecific finding, most likely reactive. Other lymph nodes are clearly normal in size.
    2. No abnormal soft tissue mass is evident. There are no findings to suggest mucosal head and neck malignancy.






  2. #2
    Join Date
    Dec 2014
    Posts
    97

    Re: “Lymph node” ultrasound

    Conversation with Oncologist


    It's not liposarcoma.
    Thank you.

    DN



    ----- Message -----
    From:Stephenie Welch
    Sent:2/26/2021 3:24 PM CST
    Toerrick Duong Nguyen, MD
    Subject:RE: Visit Follow-Up Question

    After you reviewed the imaging how can we be certain this isn't a liposarcoma?


    ----- Message -----
    Fromerrick Duong Nguyen, MD
    Sent:2/26/2021 2:35 PM CST
    To:Stephenie Welch
    Subject:RE: Visit Follow-Up Question

    Length width height in centimeters.



    ----- Message -----
    From:Stephenie Welch
    Sent:2/26/2021 2:28 PM CST
    Toerrick Duong Nguyen, MD
    Subject:RE: Visit Follow-Up Question

    Thank you dr Nguyen. How would you measure 1.6 by .5 by 1.9? Is the .5 the thickness of the lipoma?


    ----- Message -----
    Fromerrick Duong Nguyen, MD
    Sent:2/25/2021 1:50 PM CST
    To:Stephenie Welch
    Subject:RE: Visit Follow-Up Question

    There's no mistake.
    There are different densities on ultrasound.
    Lipoma is soft.
    Lymphoma is usually hard.
    Thanks.

    DN




    ----- Message -----
    From:Stephenie Welch
    Sent:2/25/2021 1:48 PM CST
    Toerrick Duong Nguyen, MD
    Subject:RE: Visit Follow-Up Question

    And last question, there's no mistaking a lymph node from a lipoma? What are the diagnostic differences between them? I'm sorry for the questions I just want to put this behind me and didn't want to take up a spot in your appointments for someone who actually needs it.


    ----- Message -----
    Fromerrick Duong Nguyen, MD
    Sent:2/22/2021 5:50 PM CST
    To:Stephenie Welch
    Subject:RE: Visit Follow-Up Question

    To be honest, I have almost zero concern.
    > 99.99% chance it is not lymphoma.
    Thank you.

    DN



    ----- Message -----
    From:Stephenie Welch
    Sent:2/22/2021 3:20 PM CST
    Toerrick Duong Nguyen, MD
    Subject:Visit Follow-Up Question

    Hey Dr. Nguyen. I know you've got to be getting sick of me by now but you know how my health anxiety is. Everything feels so real now that I'm getting an ultrasound and I'm just really scared that this is going to turn out malignant. Based on Palpation how large do you think the lymph node I'm concerned about is?

  3. #3
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    Re: “Lymph node” ultrasound

    I think you need to let this one go to be honest. There is nothing wrong.
    __________________
    Nicola

    “Don't be afraid of death; be afraid of an unlived life. You don't have to live forever, you just have to live.” - Natalie Babbitt

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  4. #4
    Join Date
    Aug 2013
    Posts
    22,323

    Re: “Lymph node” ultrasound

    Quote Originally Posted by nomorepanic View Post
    I think you need to let this one go to be honest. There is nothing wrong.
    Agreed. 5 years of fears and clear results speak volumes.

    FMP
    __________________
    "Eat. Drink. Enjoy the work you do. Be thankful for the blessings God gives you in this life. Live, love and seek out the things that bring your heart joy. The rest is meaningless... Like chasing the wind." King Solomon

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  5. #5
    Join Date
    Dec 2014
    Posts
    97

    Re: “Lymph node” ultrasound

    It iust really scares me that this thing feels like a lymph node and they cant really prove it’s a lipoma just because it doesn’t have blood flow. Like how would they know it looks like fat? And not a abnormal node?

  6. #6
    Join Date
    Aug 2013
    Posts
    22,323

    Re: “Lymph node” ultrasound

    Quote Originally Posted by Stephenie.welch View Post
    It iust really scares me that this thing feels like a lymph node and they cant really prove it’s a lipoma just because it doesn’t have blood flow. Like how would they know it looks like fat? And not a abnormal node?
    Because they're trained and schooled professional medical personal. Again, 5 years of clear results speaks volumes.

    FMP
    __________________
    "Eat. Drink. Enjoy the work you do. Be thankful for the blessings God gives you in this life. Live, love and seek out the things that bring your heart joy. The rest is meaningless... Like chasing the wind." King Solomon

    The best help is the help you give yourself! http://cbt4panic.org/

  7. #7
    Join Date
    Jan 2013
    Posts
    1,609

    Re: “Lymph node” ultrasound

    Quote Originally Posted by Stephenie.welch View Post
    Conversation with Oncologist


    It's not liposarcoma.
    Thank you.

    DN



    ----- Message -----
    From:Stephenie Welch
    Sent:2/26/2021 3:24 PM CST
    Toerrick Duong Nguyen, MD
    Subject:RE: Visit Follow-Up Question

    After you reviewed the imaging how can we be certain this isn't a liposarcoma?


    ----- Message -----
    Fromerrick Duong Nguyen, MD
    Sent:2/26/2021 2:35 PM CST
    To:Stephenie Welch
    Subject:RE: Visit Follow-Up Question

    Length width height in centimeters.



    ----- Message -----
    From:Stephenie Welch
    Sent:2/26/2021 2:28 PM CST
    Toerrick Duong Nguyen, MD
    Subject:RE: Visit Follow-Up Question

    Thank you dr Nguyen. How would you measure 1.6 by .5 by 1.9? Is the .5 the thickness of the lipoma?


    ----- Message -----
    Fromerrick Duong Nguyen, MD
    Sent:2/25/2021 1:50 PM CST
    To:Stephenie Welch
    Subject:RE: Visit Follow-Up Question

    There's no mistake.
    There are different densities on ultrasound.
    Lipoma is soft.
    Lymphoma is usually hard.
    Thanks.

    DN




    ----- Message -----
    From:Stephenie Welch
    Sent:2/25/2021 1:48 PM CST
    Toerrick Duong Nguyen, MD
    Subject:RE: Visit Follow-Up Question

    And last question, there's no mistaking a lymph node from a lipoma? What are the diagnostic differences between them? I'm sorry for the questions I just want to put this behind me and didn't want to take up a spot in your appointments for someone who actually needs it.


    ----- Message -----
    Fromerrick Duong Nguyen, MD
    Sent:2/22/2021 5:50 PM CST
    To:Stephenie Welch
    Subject:RE: Visit Follow-Up Question

    To be honest, I have almost zero concern.
    > 99.99% chance it is not lymphoma.
    Thank you.

    DN



    ----- Message -----
    From:Stephenie Welch
    Sent:2/22/2021 3:20 PM CST
    Toerrick Duong Nguyen, MD
    Subject:Visit Follow-Up Question

    Hey Dr. Nguyen. I know you've got to be getting sick of me by now but you know how my health anxiety is. Everything feels so real now that I'm getting an ultrasound and I'm just really scared that this is going to turn out malignant. Based on Palpation how large do you think the lymph node I'm concerned about is?
    I love this...... Over here in the UK you'd speak to some uptight and obstructive secretary (if you're lucky) who will make you feel that you're a nuisance and they'd rather be somewhere else even though it's the patients responsibility to contact for results, oh and of course this is after radiology has taken six weeks to look at the pictures.

  8. #8
    Join Date
    Nov 2018
    Posts
    169

    Re: “Lymph node” ultrasound

    I would feel really good about these results. That’s also AWESOME that your doctor was kind enough to continually reassure all of your questions in email. You asked every single thing you were worried about and he answered it all—I would re-read that over and over every time you feel anxious about it.

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