What is pelvic lymphadenopathies?!


Question: What is pelvic lymphadenopathies?
I had TAHBSO last year because I got a endometrial cancer and after a month the doctor advised me to have a CT scan to make sure everything is clear. The result was negative. Just this week I had my whole abdomen CT scan again just a yearly check up of any abnormalities inside. Indeed, it was found out that there are at least 2 recent nodular densities representing enlarged lymph nodes in the left pelvic side walls, level of the cervical stump, measuring up to 0.6cm and 0.7cm in widest diameter. My doctor said I need to have a chemotherapy to get rid of it. Is it the proper way to do it?

Answers:

Best Answer - Chosen by Voters

Hello,

There seems to be a high chance that your endometrial cancer has now spread to your left pelvic side-wall, unfortunately. But it is very localized there, inside the lymph nodes, which is good.

The alternative to chemotherapy is "targetted" radiotherapy, - that is to say, a course of X-rays shone onto your left pelvic side-walls.

I cannot forbear to say that I think you should consider having both targetted X-rays *and* the chemotherapy. I think the two together, would probably give you the very best chance of a total cure at this stage.

I do think you should at least discuss this possible "combined" treatment, with your Specialist.

I'm afraid you are in for an uncomfortable few months of treatments, but I do think it will all be worth it in the end. This new development is, I guess, a great shock to you, after you had been totally clear for a whole year. I am so sorry.

I hope this is of some help.

Best wishes,

Belliger
retired uk gp

PS. There is a cervical stump? They left the neck of the womb behind?

PPS. Prostate cancer is purely a man's disease, of course.



Definition:
Lymphadenopathy refers to swelling of the lymph nodes. Lymph nodes may swell due to a variety of conditions. Reactive lymphadenopathy occurs when inflammation or infection results in expansion of the immune tissue that resides in the lymph nodes. Lymphadenopathy can also occur when cancer spreads to the lymph nodes.

With prostate cancer, lymph nodes in the pelvis are usually the first to swell. Sometimes, swollen lymph nodes in the groin or pelvis can be felt through the skin.




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