Anyone with Similar Experience, Post Chemo Abnormal Lymph Node Biopsy
My EOT scan showed 1 lymph node lighting up with 4.1 SUV uptake above liver blood pool.
Asked oncologist for lymph node removal and biopsy. Doc only performed aspiration.
Copying, pasting results below. Oncologist recommended waiting until July PET scan.
I struggle with CPTSD and I'm having a tough time recieving these results. If you'd be willing to share similar experience, I'd be most grateful.
Final Diagnosis
Lymph node, 2R, endobronchial ultrasound-guided fine needle aspiration:
- heterogenous lymphoid population, see microscopic description with comment
- negative for carcinoma
Lymph node, 2R, flow cytometric analysis:
- no abnormal B-cell population identified
- no abnormal T-cell population identified
(see flow cytometry summary)
Microscopic Description
Microscopic examination shows a heterogenous lymphoid population. Very rare binucleated cells are present which may be reactive or neoplastic in nature. There is no notable increase in eosinophils. Fine-needle aspiration sampling can not exclude focal involvement by Hodgkin lymphoma in this case. There is insufficient material in the cell block for further studies. If there is significant clinical concern for involvement by classic Hodgkin lymphoma, excisional biopsy is suggested.
Flow Cytometry Summary
COMMENT
Flow cytometric analysis of the tissue specimen shows no abnormal lymphocyte population by immunophenotyping. Clinical correlation is suggested. Flow cytometry may not entirely exclude the presence of a lymphoproliferative disorder.
FLOW CYTOMETRIC ANALYSIS
The flow cytometric analysis shows 98% lymphocytes with a viability of 98%. Of the lymphocytes, 9% are B-cells, 86% are T-cells and there are 1% NK cells. The B-cells appear polytypic. T-cells show a CD4:CD8 ratio of 4.3: 1 with no aberrant antigen expression. No significant increase in CD34 positive blasts is seen.
Antibodies Tested:
CD2, CD3, CD4, CD5, CD7, CD8, CD10, CD19, CD20, CD22, CD34, CD38, CD45, CD56, sKappa, sLambda
MICROSCOPIC
A cytospin preparation shows a heterogeneous population red blood cells, occasional lymphocytes, and monocytes.
CLINICAL HISTORY
The patient has a tissue submitted for flow cytometric analysis.
CBC
Order Date: 04/29/26. Actual result date may vary.
CBC W AUTOMATED DIFFERENTIAL
Result
Value
Ref Range
WBC
5.24
4.00 - 10.50 x10(9)/L
RBC
4.74
4.00 - 5.50 x10(12)/L
Hemoglobin
13.3
13.0 - 17.0 gm/dL
Hematocrit
42.6
37.0 - 50.0 %
MCV
89.9
82.0 - 100.0 fL
MCH
28.1
28.0 - 35.0 pg
MCHC
31.2
31.0 - 36.5 gm/dL
RDW, CV
13.4
11.0 - 14.5 %
RDW, SD
44.7
36.0 - 50.0 fL
Platelet Count
286
140 - 375 x10(9)/L
MPV
9.9
fL
Differential result
See Diff Report
Order Date: 04/29/26. Actual result date may vary.
WBC DIFF AUTO, 6 PART
Result
Value
Ref Range
% Neutrophils
50.7
%
% Myeloid Precursors Auto
0.4
%
% Lymphocytes
35.7
%
% Monocytes
9.0
%
% Eosinophils
3.2
%
% Basophils
1.0
%
# Neutrophils
2.66
1.80 - 8.30 x10(9)/L
# Myeloid Precursors Abs Auto
0.02
0.00 - 0.07 x10(9)/L
# Lymphocytes
1.87
1.00 - 4.80 x10(9)/L
# Monocytes
0.47
0.00 - 0.90 x10(9)/L
# Eosinophils
0.17
0.00 - 0.40 x10(9)/L
# Basophils
0.05
0.00 - 0.20 x10(9)/L
ANC Auto
2.66
1.80 - 8.30 x10(9)/L
Gross Description
A. LYMPH NODE (SPECIFY SITE).
Received in the laboratory are 6 diff-quik stained slides and 6 fixed slides. Also received with the slides is ~5 mL of clear, colorless, watery, fluid. All slides and containers are labeled with the patient’s name and HRN. Fixed slides are pap stained. Fluid is processed into cell block.
B. FLOW CYTOMETRY.
Received in a RPMI Tube is a TISSUE sample for flow cytometry. A flow cytometric evaluation is performed.