Can multiple mediastinal lymph node enlargement be treated?

Mediastinal multiple lymph nodes of more than 1 cm can basically be explained as lesions, so it is necessary to actively carry out relevant examinations and identify the primary lesion in time. **The method is mainly surgery, combined with other methods for synthesis**, and local radiation is required after surgery**.

and systemic intravenous chemotherapy. Avoid lymphoma.

** or transfer. Multiple mediastinal lymph nodes are usually not easily detected by examination, and CT can reveal many small lymph nodes, which generally do not increase or decrease. But mediastinum is not the same.

It can mean an increase or a transfer. The presence of multiple lymph nodes in the mediastinum is basically an indication that the tumor may have evolved to an advanced stage. **Mediastinal multiple lymph nodes, chemotherapy or radiation can be selected according to the recommendations of the gens and the doctor**.

Carry out**. <>

First of all, it is necessary to identify the cause of mediastinal lymphadenopathy in the tumor, if it is esophageal cancer.

can be treated with chemoradiotherapy**. If the patient has symptoms of choking and difficulty eating, it is recommended to consider placing a stent in the esophagus to allow the patient to eat normally. If thyroid cancer.

Causes multiple lymph node metastases, it is best to take thyroid tablets, iodine-131

and other related drugs**. Patients diagnosed in the early stages of the disease can be surgically used**. Patients diagnosed with disease in the intermediate or advanced stages should first undergo a lymph node biopsy to obtain pathological results for better next steps**. Chemotherapy is usually given.

Multiple lymph node hair in the mediastinum is associated with a variety of factors such as inflammatory response, viral infection, and tuberculosis. Swollen lymph nodes may be old tuberculosis.

This can cause mediastinal lymphadenopathy to swell. Therefore, the best approach should be judged based on the patient's multifaceted medical history. Normally, depending on the nature of the lymph nodes, the method will also vary.

If it is caused by acute inflammation, intravenous cephalosporin anti-inflammatory agents can improve the ability to fight infection, the swollen lymph nodes can slowly disappear, and the patient's ** is better. If the mediastinal lymph nodes are malignant.

caused. In this case, complete resection of lymph nodes and tumor cells, combining postoperative local chemotherapy and radiation**, is feasible, but due to the late stage of the patient's disease, the probability of postoperative tumor** is higher, and the overall prognosis is poor.

In order for patients to completely solve the problem of mediastinal lymph node enlargement in the body, it is necessary to control it in many aspects. Pay attention to the correct ** direction, and at the same time manage your body properly. Moreover, if the body has abnormal symptoms, only timely medical attention can detect the early stage of the disease**.

It can be **, first of all, we must find out what causes it in order to prescribe the right medicine, some are infections caused by heat, and some are caused by malignant diseases.

Yes, because China's medical science and technology are very developed, and it can also be a lot of diseases, so I think this disease can.

There is no way to **, because this is already a malignant lymph node, and it will have a serious impact on the body, and there will be many problems in life.

Mediastinal lymphadenopathy can compress the esophagus and trachea, making it difficult to swallow and breathe. Compression of the recurrent laryngeal nerve causes manifestations of Horner syndrome, which manifests as hoarseness, ipsilateral frontal anhidrosis, and ptosis of the eyelids. Mediastinal lymphadenopathy, usually seen in the following disorders:

1. Malignant tumors:

1. Lung cancer: When tumors occur in the lungs, it is easy to drain to the mediastinal lymph nodes, resulting in mediastinal lymph node enlargement;

2. Mediastinal tumors: including lymphoma, fibroma, neuroma, etc.;

3. Digestive tract tumors: including esophageal cancer, gastric cancer, etc.

2. Benign diseases:

1. Tuberculosis: It can cause enlargement of the hilum and mediastinal lymph nodes;

2. Granulomatous diseases: such as sarcoidosis, Wegener's granulomatosis, Yanxiao Qiqi granuloma, etc., can also cause mediastinal lymphadenopathy.

If mediastinal lymphadenopathy occurs, it is necessary to go to the hospital in time for treatment, and the specimen should be sent for pathological examination by endoscopic puncture.

Patients may have a slow-slipperchymal lymphadenopathy disturbing Nala during chest imaging aluminography. There are many causes of mediastinal lymphadenopathy, inflammation can cause mediastinal lymphadenopathy, tuberculosis, tumor, lung cancer, and lymphoma can cause mediastinal lymphadenopathy. Therefore, after the patient has mediastinal lymphadenopathy, it is important to undergo a pathological examination to find out the cause of the enlargement before proceeding further**.

Hello, mediastinal lymph nodes belong to a part of the lymphatic system, mainly the lymphatic fluid of the mediastinum and the lungs on both sides, so when the mediastinal body is hidden or the lung disease and the lymphatic system is self-inflicted, it can drain to the mediastinal lymph nodes with the lymph, causing pathological enlargement. If there are no clear lesions in the lungs and mediastinum on both sides of your CT, you can combine it with relevant laboratory tests to see if the mediastinal lymph nodes are caused by a disease of the blood system itself.

I'm going to explain, I hope it helps you.

1. From the perspective of chest CT scan, it mainly indicates the thickening of the middle esophageal tube wall, but does not indicate local tube wall occlusion, nor does it indicate the expansion of the upper esophagus, so there is no affirmation of esophageal cancer. It is correct to recommend a barium swallow of the esophagus, and if the esophageal barium swallow test shows no signs of esophageal stricture, stiffness, or mucosal destruction and interruption, esophageal cancer can be ruled out;

2. Questions about mediastinal lymph nodes. There are lymph nodes in the mediastinum, as long as they are not significantly enlarged, it cannot explain the problem, and the short diameter of the lymph nodes in the mediastinum is generally not more than 10mm. The report only shows that the lymph nodes in the mediastinum are displayed, and there is no problem of enlargement, which is regarded as normal;

3、.Bilateral pleural thickening is very common, and any pleurisy or pleural tumor can present with pleural thickening, of course, the vast majority is caused by pleurisy, and there is no need to be nervous or treated.

Patient age: 38

Patient gender: male.

The right upper mediastinum was widened without obvious enhancement, the remaining mediastinal vessels were not obviously abnormal, the bronchial bundles of both pulmonary vessels ran naturally, there was no clear abnormal density shadow in the lungs, the hilar structure was clear, and the trachea was patency. Enlargement of lymph nodes.

Want help: How can I do it?

Physician 1: Analysis of the condition:

Hello, according to the situation you described, it is a manifestation of swollen lymph nodes, and here are my recommendations.

Suggestions: For lymphadenopathy, generally speaking, lymph nodes are mildly swollen, single or scattered, soft, no tenderness, no adhesions, no other symptoms, can be temporarily not necessary, but its changes must be closely observed. If it does not increase or gradually shrinks, it can be observed; If it is enlarged or increased, it is necessary to see a doctor.

Physician 2: Analysis of the condition:

Considering the presence of a mediastinal mass lesion, it is recommended that:

A single radiographic examination report can only indicate the widening of the right upper mediastinum, but cannot confirm the diagnosis, because the radiographic examination** is an overlapping image, and it is recommended to do a chest CT examination to clarify the specific nature, location, size, CT value, relationship with large blood vessels and relationship with lymph nodes.

It is important to find out whether the cause of swollen lymph nodes is caused by inflammation, tuberculosis, or metastasis.

Inflammation and tuberculosis require anti-inflammatory and anti-tuberculosis**. Tumor metastasis can only be performed by surgery, chemoradiotherapy, etc.**.

Middle mediastinal tumors: most of them are lymphatic system tumors, such as Hojegin's disease, reticulocytic sarcoma, lymphosarcoma, etc., which are mostly characterized by swollen middle mediastinal lymph nodes, but can also invade lung tissue to form invasive lesions. The course of the disease is short, the symptoms progress rapidly, and it is often accompanied by swollen lymph nodes around the body, irregular fever, hepatosplenomegaly, anemia, etc.

X-ray examination shows that the enlarged lymph nodes located on both sides of the trachea and the hila on both sides can be confluent into a mass with uniform density, and may have large lobulations but no calcification. The bronchial tubes often become vacant and narrow.

Other less common mediastinal tumors include hemangiomas, lipomas, fibroids, and chondromas.

Common symptoms are as follows:

1. Respiratory symptoms: chest tightness and chest pain generally occur behind the sternum or on the affected side of the chest. Most malignant tumors are painful when they invade bones or nerves. Cough is usually caused by compression of the trachea or lung tissue, and hemoptysis is less common.

2. Nervous system symptoms: various symptoms due to tumor compression or erosion of nerves: such as tumor invasion of phrenic nerve can cause hiccups and diaphragm motor paralysis; If the tumor invades the laryngeal recurrent nerve, it can cause hoarseness; If the sympathetic nerve is affected, Horner's syndrome can develop; When the intercostal nerve erodes, chest pain or paresthesias may occur.

For example, the pressure of the reed rubber cavity forced the spinal nerve to cause limb paralysis.

3. Symptoms of infection: If the cyst ruptures or the tumor infection affects the bronchial or lung tissue, a series of infection symptoms will appear.

4. Compression symptoms: superior vena cava compression, common in upper mediastinal tumors, more common in malignant thymoma and lymphoid malignant tumors. Compression of the esophagus and trachea, and symptoms such as shortness of breath or hypopharyngeal obstruction may occur.

5. Special symptoms: teratoma ruptures into the bronchi, and the patient coughs up sebum and hair. A ruptured bronchial cyst communicates with the bronchial tubes, presenting with symptoms of bronchopleural fistula.

A very small number of patients with intrathoracic thyroid tumors have symptoms of hyperthyroidism. Patients with thymoma sometimes have severe muscle weakness.

In addition, mediastinal lymphadenopathy can also be seen in mediastinal lymph node tuberculosis and sarcoidosis.

Hello, 1. What part of the mediastinum is lymphadenopathy? It is best to upload video materials.

2. There are many factors of mediastinal lymphadenopathy, in addition to general lung inflammation, tuberculosis and other infectious factors, there are also chronic lymphoproliferation, malignant lymphoma, lung cancer, esophageal cancer lymph node metastasis.

3. For the diagnosis of mediastinal lymphadenopathy, in addition to CT, according to different parts, there are also PET, mediastinoscopic biopsy and other examinations. Upper gastrointestinal barium swallow and gastroscopy may also be done.

5. Thoracic surgery consultation is recommended.