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Breast Cancer (Expert Forum)
Hypoechoic lumps on left axilla
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
Hypoechoic lumps on left axilla
by esri12, Jan 02, 2006 12:00AM
I had an ultrasound done on both axillas and breasts following a normal mammography. The report concerning my left axilla says:
"There are 4 hypoechoic and solid nodules with loss of cortico medullary differentiation and increase of vascularity in the Doppler Test color compatible witn adenopathy.
The size of the lymph nodes is: 48x32,5mm 34x14mm 25x16,5mm and 31x22mm.
US of both breasts and right axilla is normal"
I had the US done because a week after I had the mammography I noticed the lumps, which are painless, but I do not have adenopathy anywhere else and I feel fine.
I am 50 years old, I had blood work on November which was normal and I have a history of anemia. Several months ago they removed my uterus for a beningn fibroma and for a few weeks I had a fever but I was OK after that.
I am concerned about the lumps being hypoechoic and the result of the Doppler test and I am extremely concerned about the loss of cortico medullary differentiation. Does it mean that the lymph nodes do not have a fatty hilus?.
Since I have some medical knowledge, I would appreciate your honest and specific answer.
Thank you!!!
"There are 4 hypoechoic and solid nodules with loss of cortico medullary differentiation and increase of vascularity in the Doppler Test color compatible witn adenopathy.
The size of the lymph nodes is: 48x32,5mm 34x14mm 25x16,5mm and 31x22mm.
US of both breasts and right axilla is normal"
I had the US done because a week after I had the mammography I noticed the lumps, which are painless, but I do not have adenopathy anywhere else and I feel fine.
I am 50 years old, I had blood work on November which was normal and I have a history of anemia. Several months ago they removed my uterus for a beningn fibroma and for a few weeks I had a fever but I was OK after that.
I am concerned about the lumps being hypoechoic and the result of the Doppler test and I am extremely concerned about the loss of cortico medullary differentiation. Does it mean that the lymph nodes do not have a fatty hilus?.
Since I have some medical knowledge, I would appreciate your honest and specific answer.
Thank you!!!
Doctor's Answer
by CCF-RN,MSN-rf, Jan 03, 2006 12:00AM
Dear esri12: The cortex and the medulla are simply different regions within the lymph node with the medulla being at the center and the cortex being the main part of the lymph node where most of the lymphocytes (lymph cells) reside. Your ultrasound report describes an inability to differentiate the two areas in your lymph nodes and describes enlarged lymph nodes as, indeed, you yourself have noted. Many things can cause abnormal lymph node enlargement (also known as adenopathy) including infection and cancer. It would be appropriate to have enlarged lymph nodes evaluated by your physician or by a surgeon. Breast surgeons frequenly deal with enlarged lymph nodes in the axilla, even if there is no evidence of cancer in the breast.
