Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Lymph node lighting up on PET with epithelioid features

Resolved Question:

Doctor, my dad had an oval shaped capsule node(Lymph Node) measuring 3x2x2 cm on the right side of the neck.
report of the microscopic exam of the same shows tumour with epithelioid features.
later on a test of immunohistochemistry of the same sample express that the tumor cell has Desmin, Myogenin, SMA & EMA and are immunonegetive for cytokeratin, S100 protein &CD 34.

this Lymph node again emerged on the same part in the body this time measurring 2.2x 1.8 cm after 2 months.
a F-FDG PET-CT SCAN of the whole body done on 03/09/2013 shows an increased FDG uptake (SUV:9.31 max)in the heterogenously enhancing lesion
involving the right sternocleidomastoid.

a bone mero scan done show no harm and is deemed as normal by the concerned doctor.

i want your opinion on this disease and also what neccesary treatment should be done.
i also want to know if there are any precaution and preventation should be taken by the patience in order to control this disease

Category: Oncologist

Ask Your Own Question

Dr. Vineel Pampati
Category: Oncologist
View Profile
 31 Doctors Online

Expert:  Dr. Vineel Pampati
View Profile

Hello,

Thank you for your consult at DoctorSpring.com. My apologies for the delay with the reply.

I have gone through the reports, your father seems to have developed embryonal rhabdomyosarcoma. It is actually a pediatric disease which some times affects adults as well.

In your father's case as the tumor is localized and has not spread anywhere, it can be taken up for surgery. Then can then can be followed up with chemotherapy. Depending on the surgical margins we can plan for local radiation also.

Chemo with VAC - D can be given, if the general condition of the patient is good.

Hope this helps and i have answered all your queries. Please feel free to discuss further.

Regards
Dr Vineel Pampati
Consultant Radiation Oncologist

Dr. Vineel Pampati
Category: Oncologist
Experience: 
Residency: MD, Kasturba Medical College,Manipal
Medical School: MBBS, College of Medical Science, Bharathpur.
Dr. Vineel Pampati and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Get me answers from Doctors now
31 Online Doctor

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news