Hi, I have a Hx of lymphodapathy for 6 months involving the right tonsil (10cm), right supraclavicular and subclavicular nodes (6-9mm), bilateral occipital nodes (7mm), the right postauricle node (3mm) and most recently, the left axillary node. The left axillary node is the largest- about 3 cm. It moves freely but kind of "pops" like a rubber band when moved. The surgeon has suggested removing that one because it is the largest. The occipital nodes are hard and fixed. My question is: should nodes from both the axillary area and another area be taken, or should pathology or lack there of be totally based on the axillary node finding? Aren't axillary nodes commonly found to have reactive hyperplasia, regardless of a cancer diagnosis? Should I ask my surgeon to take an additional node just to be cautious? Is it my decision?
Additional symptoms include: intermittent fevers ranging from 99.4 F to 100.4 F X4 months, EXTREME fatigue X8 months, deep aching in bones and joints, occasional night sweats- not drenching but significant X5 months. All labs are negative for other possible etiology. Serum DHL and B12 have not been checked.
Thanks!