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I know this is ridiculous... What is this ?

 
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NJdoc
New User


Joined: 23 Aug 2008
Posts: 1
Location: New Jersey

PostPosted: Sun Aug 24, 2008 12:14 pm    Post subject: I know this is ridiculous... Reply with quote

...but I just have to ask.

First, I'll introduce myself quickly. I'm a 28-year old female physician in New Jersey, and I have what us docs like to refer to as "medical student syndrome", meaning that I think I have every disease possible even though I should know better! LOL I have a deep interest in oncology and have been browsing this board for a long time before I, myself, had a question to ask.

3 weeks ago I had a painless swelling of one of my right anterior cervical lymph nodes, to the tune of 1 inch. Two days later it became exqusitely painful; I couldn't even brush my hand past it or it would send shooting pains up the right side of my face. I went to my doctor who said she figured I had an ear infection, and then gave me amoxicillin. Ten days later I had finished the antibiotic, but my lymph node was still swollen and painful, measuring at 3/4 of an inch. I was experiencing low grade "fevers" - about 99 to 99.8 - a few times a day. I also noticed a pain in my left side that had been there since my lymph node enlarged, but I had chalked it up to being musculoskeletal. After a few more doctor visits, they finally had the sense to order a MonoSpot test, which was positive. I was so relieved, which is a little ridiculous! LOL But I was sure prior to that that I had lymphoma, because really, many of the signs pointed away from mono - no sore throat, no rash after taking the amoxicillin, a normal WBC count, and an asymmetrical swelling of my lymph nodes.

So now here I am, 3 weeks ater the lymph node swelling. I'm no longer having fevers (at least I don't think so) and the pain in my left side is subsiding a bit. However, this lymph node just won't quit. I know they can stay large for quite a while after an infection, but I'd be a liar if I said I wasn't concerned. And because I'm a doctor, everyone thinks I "should know better", and I truly feel as if my concern isn't being taken seriously.

For those of you who are living with lymphoma, do you think my concerns are unwarranted? Should I give it some more time? I know what everyone is telling me to do and I know what the books say, but I also have seen the end result of patients who just let something go because everyone told them not to worry about it.

Any advice? I'd be so appreciative! Very Happy
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ChemoMan
Senior User


Joined: 04 Jun 2008
Posts: 249
Location: South Australia

PostPosted: Sun Aug 24, 2008 4:09 pm    Post subject: Re: I know this is ridiculous... Reply with quote

Hi NJdoc

You should get it looked at. The fact that you had an EBV infection is not a good sign as EBV is one of the things that can cause the chromosomal translocations that cause Lymphoma. Show it to an oncologist or hematologist. They will no doubt want to watch and wait for a while but I would definitely get it seen by an experienced physician.

Good luck
_________________
Age 52
Diffuse Large B cell Lymphoma
Stage 2a
Finished six cycles of R chop 21 26th May 2008
Officially in remission 9th July 2008
Remission confirmed 1st October 2008
http://cancerforums.net/viewtopic.php?t=9620
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