everything but fatigue is normal....????

Hello everyone,
I am new here and I have a few questions please. Everyone sounds like they have a lot of experience and knowledge to share.  I have had a swollen lymph node on the right side of my neck for 4 months it has grown from 1.2 cm to 2.4. I am feeling no pain, i have not been sick with any flu, cold or virus for at least 6 years.
I had mono when i was in 8th grade ( now 57). I have fatigue ( a lot ) and nauseated at times. I have not lost any weight and have no other symptoms . I have had a CT and ultrsound done and both came back neg just showing the lymph nodes which i have a many of on both sides on neck but only 1 enlarged one.My PCP wants a biopsy done. Oh, and my blood work is fine. With the tests fine and the increased fatigue, could this be lymphoma? I guess I am looking for more symptoms. Any thoughts on this ??? Thanks in advance.

[Ken_PA]

Hi, I'd say I think the same as you. Are there any other risk factors, such as family history, that make the PCP concerned? Is the node still growing?

Did your scans show a "fatty hilum"? How is your LDH?

I recall one study that went something like this: of 100 patients with nodes that would not go down, 4 or 5 were sent for biopsy and 2 had cancer. So the odds are in your favor, with whatever is causing the node swelling also causing the fatigue.

A PET might be better to do than a biopsy, to check the intestines etc. But a biopsy would set your mind completely at ease, if it's negative.

[nancihelp373]

Hi Ken,
My PCP wanted a PET but insurance said "no". Big shock there right???
I am having the biopsy done on the 19th. THe medical field is enough to make you crazy for sure ....
Oh, my cholesterol is awful. I had pancreatic surgery and the surgery caused the diabetes and I am having trouble getting under control. What would LDL have to do with it? THere was no mention of " fatty hilum".

[Ken_PA]

I'd guess that your situation with reduced insulin production is therefore somewhat similar to type 1 (inherited) diabetes. Since high LDL with diabetes is a bad combination, I'd look into all the work being done with using very restrictive diets to control both. Offhand, I don't know of how diabetes would cause higher LDL - but if it were me I'd want to know if I had the more dangerous "small dense" LDL.

Good luck tomorrow with the biopsy.