|Lymph node biopsy; my surgeon couldn't find it at the time of surgery
Sep 18, 2001
I've had an enlarged posterior cervical (neck) node for five months, had high risk exposure but have repeatedly tested neg for HIV. Query: My node biopsy was unsuccessful. The general surgeon opened my neck and poked around for an hour or so. He said he was going to close me and recommend that I get general anesthesia at the hospital to get the node out. Is this at all usual? He said that sometimes the node, even if it feels right under the skin, can be under the muscle. I've been having occasional night sweats and lost some weight, although I have gained it back)
Response from Dr. Dezube
There are really two elements to your question-- 1) Should you get the lymph node out? 2) What's the best way to accomplish this?
Although there are no firms rules as to when to have a lymph node biopsied, doctors are more likely to be concerned about a lymph node if one node is way bigger than the others, if a patient has systemic symptoms (e.g. fever, night sweats, weight loss), if a patient is older (e.g., a 60 year old with a lymph node is more worrisome than a 20 year old). A biopsy helps determine if the lymph node is just a benign enlargement (what we call a reactive node), has cancer (e.g. lymphoma, Hodgkin's, and others), has an infection, or is something else. The vast majority of lymph nodes, particularly in younger folks, are reactive (i.e., benign) in nature.
What's the best way to accomplish this? Have you had a neck CT scan? This is probably one of the best ways to accurately determine exactly where the lymph node is, what structures it is by, and what's the best way to remove it.
Spreading of KS; Does this mean my viral load is rising?
Use of Rituxan in CHOP treatment
- Are Cervical Biopsies Tested For Hiv?
- Purple Spots Could I Have Acute HIV Infection
- Itchy Red Spots After Nipple Biting Sign Of HIV AIDS
- Itchy Skin After Mutual Masturbation Sign Of HIV AIDS
- Painful Red Spots After Oral Sex Worried I Have HIV
- Sinus Infection After Licking Vagina Worried I Have HIV
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.