also i am eating all raw food. no sugar, no nothing. just salad and 10 lbs of carrots a day which equals 10 cups a day.
First off dont assume cancer, I know doctor google brings up the worst possible secnarios. Also being pregnant can mess with your blood counts. A lot of people with lymphoma's present with normal blood counts . I would talk with your PCP about your concerns and diet. My wife is a vegan and when she was pregnant the doctor really had to go over the proper foods to eat so she could deliever a healthy baby.
Hi, Stressless. I believe I'm following your thinking correctly.
Points against it being lymphoma, though it's showing lack-of-hilum and is large-size:
1) there are other nodes nearby which are benign, so it's reasonable to think that they all have the same, benign cause
2) hilum can be effaced via inflammation in some cases
3) being large sized can result from granulomas in the node, which btw also results in non-rounded nodes (otoh, lymphoma tends to get round as it grows and grows). Being 2.4 x 1.4 x 1.0 cm is not round.
4) increased vascularity can occur from inflammation
5) elevated neutrophils point to some immune reaction, such as hidden infection. (I don't know how blood cells react to pregnancy.)
So did the biggest node actually shrink that much? It's possible, but not likely (because neither cancer nor granuloma should do that). So I understand your doubt. You can use a permanent marker to put 4 marks on the node periphery and give a better way to see if size changes. Maybe even the 1st sono was wrong, and that's why the doc did it personally the 2nd time.
From what I've seen of patients coming here with unusual cases, I don't think you have lymphoma. Point #1 above is the biggest clue.
I would be very disbelieving that carrots can kill cancer. Please don't follow that, but instead switch to giving proper nutrition to the baby.
While you maybe can't have a full excisional biopsy, you can ask for a needle biopsy which uses only local anesthetic. That's better than nothing and then maybe you'll be more inclined to abandon the raw carrot diet. You must even be losing weight from that and you might also be risking gestational diabetes.
Please let me know what you decide.
Thank you. The node is pretty deep in my thigh so I can’t mark it but it does feel smaller than it did initially. I have another appt tomorrow and may ask for a repeat ultrasound just so I can be certain that it is infact shrinking. I saw the tech measure the node initially and the measurement from what I could see was correct at 2.4 cm. Praying this is not cancer but so scared that I am circling the drain with each passing day.
Also- I fell and hit my shin very hard about 3 months ago and a month or so later is when I noticed the lump. The part I hit is still heeling and slightly itchy. A I wear compression stockings 30-40 level every day.
If it's truly gotten smaller then that very strongly says it is not cancer. Very. Having the size reduction confirmed by sono should give you tremendous relief from worry.
You should most definitely ask for another sono, but don't be surprised if they say it's way too soon and you have to wait.
Maybe there was fluid inside scattered all throughout - not in spots like cysts which would have shown. There was never pain?
Having psoriasis gives to you an alternate explanation for the enlarged node(s), because a dysfunctional immune system can do many strange things. Btw, it's my belief that an overactive immune system often goes together with anxiety.
Normally, we'd think of trauma causing enlarged nodes when the node itself is directly hit. But with overactive immune systems, the signalling chemicals that get released from tissue as a result of any trauma might be causing a runaway reaction in downstream nodes. That's not usual but it surely seems possible.
I also have a very very strong suggestion for you about anti-cancer food: find videos by Dr Greger and learn all you can about anti-cancer vegetables, fruits and spices. A lot of those act by being anti-inflammatory, which is generally healthy for anybody for many reasons. Those things along with normal food will also be very healthy for the baby.
Please abandon the raw carrot diet, that is just plain wrong on many levels.
Pain- I have soooo much pain! My entire left pelvic area and where the node is.
In this case pain is good because a painful node tends to be not-cancer. The pain might be from swelling with fluid.
Good luck with you appt tomorrow.
So just got back from Ultrasound. The ACTUAL current measurement is 2.1 x 1.0. It was actually 2.05 but she said she’s going to round it up. Original size was 2.4 x 1.4. Thoughts.
Initially the node was 2.4. A week ago the vascular doc said t was 1.7 and today it was 2.1. I honestly believe the vascular doctor did not measure it correctly the first time as I stated in the initial question. It was rushed and he was mainly focused on the veins in my pelvis. I think the node has shrunk to 2.1 but not to 1.7 as vascular doc said. No there’s not a lot of fat to look through. The node is palpable. In the sono it says characteristics most consistent with a lymph node (the first sono that is) I haven’t seen the results of the second one yet. Other than the size as I asked the tech myself to compare the tow tests from oct 31 and today.
If we discard the 2nd sono, then the ~10% decrease in the long axis certainly means that it has not grown, at the very least. That means either it is not cancer, or else if it was cancer (which it likely isn't anyway) then it is very very slow growing and you can wait until after delivery to have an excisional biopsy.
In the past, size alone was considred a great indocator of cancer - but that has since been found out to be not true. So be careful when you read things about how recent they are.
Also, here is a 2011 study which found that "Among reactive nodes, irregular margins were found in 7%, hypoechoic center in 8% and ABSENT HILUS in 9% of nodes". So absent hilus is not 100%, as previooulsy described. You are likely in that 9%.
The other sono reportd might only tell the size, not the internal architecture. Unfortunately, it is sometimes done that way.
Ok thank you. And if we keep the second sono and the doc did measure correctly st 1.7 cm then what could that mean?
Ok thank you. So there’s still a good chance this is cancer than correct? I hope I’m understanding you correctly. Forgive me if I’m not.
Thanks so much. So the official results are as follows for the recent sono. There is a lymph node 21mm x 10mm x 8 mm with fatty hilum slightly smaller than the lymph nodes seen in October. No evident sonographic abnormality. What could this mean? Now there is a hilum? And yet there wasn’t before???????
Let me know what you think? Sorry the posts are scattered my phone is acting up.
just wanted to update- had my baby july 2. I had a follow up ultrasound mid pregnancy which read as follows
within the subcutaneous fat of the anterior left thigh peripheral inguinal region there is a lymph node 21 x 10 x 8 mm (previously 2.4 x 1.4 x 1.0 cm) with fatty hilum , normal size and morphology. this is slightly smaller than the lymph nodes seen in October.
Normal lymph node at site of clinical concern. No evident sonographic abnormality.
Next i had another follow up ultrasound a couple weeks before delivering the baby
Most recent exam- June 20, 2018
Findings - (except as noted, abscence of suspicious features including hyperemia, thickening or irregularity of cortex, microcalcification, effacement of echogenic hilum.
Left inguinal region: Identified lymph node measures 1.9 x 0.9 x 0.9 cm previously 1.6 x 0.7 x 0.6 cm
Left upper thigh : identified lymph node measures 1.2 x 1.0 x 0.7 cm with slightly thickened cortex/efacement of echogenic hilum (previously 2.1 x 1.0 x 0.8 cm)
Right inguinal region; identified lymph node measures - 2.0x 1.2 x 0.9 cm (previously 1.3 x 0.8 x 0.5 cm) along with a larger node which is not seen on current exam.
No solid or cystic mass, fascial defect, hernia or additional lesion noted.
IMPRESSION: There is not distinctly suspicious adenopathy. The targeted palpable nodes above are considered likely reactive, minimially larger or smaller than preceding exams without suspicious change and features.
What do you all recommend at this juncture? What could this all mean? thank you in advance.
Congratulations on the baby! That's wonderful news.
As for your sono reports, that is also good. Most got smaller, the one that got bigger shouldn't be a worry because of the fact that the others that got smaller. So it's not-cancer.
However, the nodes are still enlarged and so the goal should eventually be to find out what is the cause. (The cause, I think, is likely some odd immune system dysfunction.) But you are not in any immediate danger so you can relax. Maybe the nodes will even get smaller and smaller over the coming weeks because of hormonal changes.