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Respiratory Disorders
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This patient support community is for discussions relating to lung and respiratory issues, allergies, asthma, bronchitis, colds/flu, chronic cough, COPD, lung abscess, nasal polyps, pleurisy, pneumonia, sarcoidosis, and tuberculosis.

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Respiratory Disorders

Please help me understand my biopsy report

I was diagnosed with Sarcoidosis in 2008 no symptoms prior to the diagnosis.  Since 2010 my health has been deteriorating, I am now experiencing occasional coughing, frequent night sweats, chronic fatigue, blurry vision, headaches and body aches but my appetite is good and no weight loss or respiratory distress.

My clinical diagnosis  Mediastinal adenopathy . My surgical pathology report indicated Hilar Lymph node, granulomatous inflammation, with focal necrosis.  No acid-fast organisms nor fungal elements appreciated with special  stains (Ziehl-Neelsen, Gridley).  Rare minute birefringent material noted under polarized light.  The Lymph node size ranges from 1.1 to 0.7 cm.  Can this lead to cancer of the lungs if not treated.  Please help
Avatar_dr_f_tn
Hello and hope you are doing well.

Understand your predicament. Granulomatous inflammation in the lymph nodes commonly occurs due to tuberculosis infection and sarcoidosis. So, they have ruled out tuberculosis with Ziehl-Neelsen staining. So, most probably the diagnosis is sarcoidosis. Many people with sarcoidosis are not seriously ill, and the disease may get better without treatment. About 30 - 50% of cases get better without treatment in 3 years. About 20% of people whose lungs are involved will develop lung damage. And this is unlikely to cause lung cancer.

Hope this helped and do keep us posted.
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