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Ultrasound Guided FNA/possible core biopsy of lymph node lesion

Forums General Melanoma Community Ultrasound Guided FNA/possible core biopsy of lymph node lesion

  • Post
    alicia
    Participant

      Hey everyone just updating what's new.  I had an ultrasound of my lymph nodes in both groins where some of the nodes contained a hypoechoic lesion concerning for melanoma metastatic deposit.  Since the surgical oncologist can actually see this within the nodes he's set me up for an ultrasound guided biopsy this thur at VAndy.  Has anyone else had an enlarged lymph node or nodes that contained a "lesion" in the node that was visible by ultrasound?

      Hey everyone just updating what's new.  I had an ultrasound of my lymph nodes in both groins where some of the nodes contained a hypoechoic lesion concerning for melanoma metastatic deposit.  Since the surgical oncologist can actually see this within the nodes he's set me up for an ultrasound guided biopsy this thur at VAndy.  Has anyone else had an enlarged lymph node or nodes that contained a "lesion" in the node that was visible by ultrasound?  Crazy thing is I had a clean PET scan done 2 mo ago but these hypoechoic areas in the nodes are just now right at 1cm in size and were not there 2 mo ago.  Thanks so much for your support and knowlege on this disease.

       

      Much love,

      Alicia STage 3a w/ 3 primaries

    Viewing 5 reply threads
    • Replies
        lhaley
        Participant

          I could feel the node in my arm, the PET showed it to be nothing. Went for an ultrasound and it was thought to be a blood clot. 1 month later I went for a follow up ultrasound and it had grown 1mm. They did the FNA and got metastic cells.  When the surgery was set up they did another PET scan. This time it was large enough to show. 

          Good luck and let us know the results! 

          Linda

          lhaley
          Participant

            I could feel the node in my arm, the PET showed it to be nothing. Went for an ultrasound and it was thought to be a blood clot. 1 month later I went for a follow up ultrasound and it had grown 1mm. They did the FNA and got metastic cells.  When the surgery was set up they did another PET scan. This time it was large enough to show. 

            Good luck and let us know the results! 

            Linda

              alicia
              Participant
                Thanks so much Linda!!! I’ll update as soon as I know the results. How long did it take for you to get your results back?
                alicia
                Participant
                  Thanks so much Linda!!! I’ll update as soon as I know the results. How long did it take for you to get your results back?
                  lhaley
                  Participant

                    That particular FNA was done locally and it took a week.  My last one (which was negative) was done in the cancer center and it took 2 days.  My oncologist still felt it was going to be mel so it was then excised and those results were also about 2 days – still negative!  It was worrisome because this node was just inches away from my last malignant node. Ended up being fatty tissue.

                    lhaley
                    Participant

                      That particular FNA was done locally and it took a week.  My last one (which was negative) was done in the cancer center and it took 2 days.  My oncologist still felt it was going to be mel so it was then excised and those results were also about 2 days – still negative!  It was worrisome because this node was just inches away from my last malignant node. Ended up being fatty tissue.

                    FormerCaregiver
                    Participant

                      Alicia, I would just like to say a bit about PET scans. In general, they are not good at picking up very small areas of metastasis. They are basically designed to show areas of high metabolic activity that could indicate a malignant tumour. Any suspicious areas are then usually checked against what is shown on a corresponding CT scan. However, a biopsy is the most accurate way of identifying if a lesion is melanoma.

                      Wishing you good luck with the biopsy results. 

                      Frank from Australia

                      FormerCaregiver
                      Participant

                        Alicia, I would just like to say a bit about PET scans. In general, they are not good at picking up very small areas of metastasis. They are basically designed to show areas of high metabolic activity that could indicate a malignant tumour. Any suspicious areas are then usually checked against what is shown on a corresponding CT scan. However, a biopsy is the most accurate way of identifying if a lesion is melanoma.

                        Wishing you good luck with the biopsy results. 

                        Frank from Australia

                          alicia
                          Participant
                            Thanks so much Frank and Linda!!!! I truly appreciate you all xoxox:0)

                            Much love,
                            Alicia

                            alicia
                            Participant
                              Thanks so much Frank and Linda!!!! I truly appreciate you all xoxox:0)

                              Much love,
                              Alicia

                            JerryfromFauq
                            Participant

                              Alicia, the problem with FNA's is that it totally depends on hitting the right cells with the little needle.  Soometiimes they hit the spot, sometimes they don't.  I have had a couple of FNA's attempted by different people at different locations.  They were all inconclusive.

                                I had a PET scan of my groin in which they said there was no uptake shown on the PET.  I asked my surgeon to remove the growiing lump within the month.  He did and the melanoma tumor was the size  of the last joint of my little finger.  PETs are famous for both false negatives and false positives.  i will note that is would be unusual for both sides of the groin to have melanoma in the nodes at the same time.  Has CT scans shown any growth in the size of the "spots?"

                              JerryfromFauq
                              Participant

                                Alicia, the problem with FNA's is that it totally depends on hitting the right cells with the little needle.  Soometiimes they hit the spot, sometimes they don't.  I have had a couple of FNA's attempted by different people at different locations.  They were all inconclusive.

                                  I had a PET scan of my groin in which they said there was no uptake shown on the PET.  I asked my surgeon to remove the growiing lump within the month.  He did and the melanoma tumor was the size  of the last joint of my little finger.  PETs are famous for both false negatives and false positives.  i will note that is would be unusual for both sides of the groin to have melanoma in the nodes at the same time.  Has CT scans shown any growth in the size of the "spots?"

                                  alicia
                                  Participant
                                    Thanks Jerry:) I just got home from Vandy a couple hrs ago. The radiologist did a core biopsy of 3 lymph nodes. One was in my left axillary region and then one in each of my deep femoral nodes. The axillary lymph node was enlarged and the other two groin nodes had an actual lesion that he took a core sample from. I should know results early next week. Im just so glad it’s now finally over!!!! They took 4 samples from each node so hopefully they should
                                    Get a good reading from the tissue;)

                                    Much love,
                                    Alicia

                                    alicia
                                    Participant
                                      Thanks Jerry:) I just got home from Vandy a couple hrs ago. The radiologist did a core biopsy of 3 lymph nodes. One was in my left axillary region and then one in each of my deep femoral nodes. The axillary lymph node was enlarged and the other two groin nodes had an actual lesion that he took a core sample from. I should know results early next week. Im just so glad it’s now finally over!!!! They took 4 samples from each node so hopefully they should
                                      Get a good reading from the tissue;)

                                      Much love,
                                      Alicia

                                      JerryfromFauq
                                      Participant

                                        Waiting with you for those results. 

                                        JerryfromFauq
                                        Participant

                                          Waiting with you for those results. 

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