Question 1

I'm really worried about my mom. She's had these enlarged supraclavicular lymph nodes for two years now. There are no signs of TB like fever, weight loss, or fatigue, and she's been managing her diabetes pretty well. There was nothing in the lymph nodes when tested for CBNAAT. The ultrasound showed they're quite large, and the biopsy results indicated granulomatous lymphadenitis. The document says TB needs to be ruled out, and the AFB stain came back negative. They also mentioned something about doing a TBPCR test to make sure it's not tuberculosis. The microscopic findings talked about some kind of granulomas but no caseous necrosis was found. TB PCR didn't show any sign of MTB or non-TB mycobacteria. I'm quite confused and worried about what all this means. Is this something serious? What should we do next?

Accepted Answer

That could be non specific TB infection,might need complete course of  ATT, visit physician for appropriate management

Question 2

I'm a bit worried after my recent chest X-ray. It showed this opacity in the right lower zone, so they did a CT thorax with contrast. The results showed a well-defined, heterogeneously enhancing lobulated mass in the anterior mediastinum on the right side, around 6.6x5.3x6.5cm. It seems to be involving the prevascular space, but thankfully, there arent any changes in the surrounding lung parenchyma. They mentioned it could be either a lymph nodal mass or a thymoma. Could you help me understand what this might mean and what the possible next steps could be?

Accepted Answer

do PET SCAN

Question 3

my mother has stage 3A breast cancer and is getting treatment at SGPGIMS but the doctors aren't clear about how many chemo cycles she'll need they mentioned maybe 10 cycles but does that mean 5 before surgery and 5 after or something else also they said it could go beyond 10 if her body responds well is there no standard number of cycles for different cancer stages and which hospital would be best for breast cancer treatment

Accepted Answer

A detailed evaluation will help decide the best course of action.

My mom had a 2.68x1.49 cm breast cyst removed from her left side in 2014 the biopsy showed fibrocystic changes with a simple cyst and no malignancy. Now she's noticing a similar lump on her right side. Should she get surgery again or is there another way to handle this?

If a new breast lump appears,it should be evaluated.Surgery isn't always needed if it's benign imaging and biopsy-guided follow-up may help.

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