Ask a doctor on the topic of Internal medicine

Histology of lymph nodes

August 28, 2013 | 15,00 EUR | answered by Dr. med. Ive Dr. Schaaf

Hello,

last Friday an enlarged lymph node was removed from my groin and examined. The following results were found:

A 1.5 x 1.0 x 0.5 cm fat tissue excise, with a 1 cm beige tissue nodule. Splitting and embedding in toto.

Lymph node: The sinuses are dilated. Histiocytes in the sinuses. Basic structure preserved, capsule fibrosed. Diffuse lymphatic tissue. Partly in the marginal area monocyte B-cell hyperplasia. PAS without pathogen structures.

Diagnosis: Lymph node with chronic lymphadenitis with capsule fibrosis and sinus histiocytosis.

My inflammation values in the blood are normal, only the iron level is too low.

Furthermore, I have a node in the right breast that has been diagnosed as a fibroadenoma. Due to the report from the lymph node, the mammography images will now be reevaluated by a radiologist and then a biopsy will be taken.

What does all of this mean?

Thank you for your response.

Sincerely,

Dr. med. Ive Dr. Schaaf

Good day,

An enlarged, chronically inflamed lymph node in the groin indicates that there is a process happening in the leg that is associated with an increased accumulation of "waste tissue." Or it may not signify anything. It is actually not uncommon for lymph nodes to be thickened and chronically inflamed for a long time without a specific cause being found, so it may just be there without any further significance.

The process in question in the leg should be investigated, but usually only with "harmless" diagnostics, precisely because enlarged lymph nodes that are harmless are often found.

This lymph node has nothing to do with the chest.

What else is wrong with you besides the one enlarged lymph node? Full blood count? Other lymph nodes? How are you feeling?

Kind regards,

Dr. Schaaf