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Question
My 11 year old son has a swollen lymph node in his armpit that has been there for approximately a month. Our doctor has treated with antibiotics but his labwork shows no signs of infection. Recently his lymphocyte count came back as 15.5 (0.8 absolute). We are being referred to a surgeon and an oncologist. What is the likelihood he has lymphoma? I am very worried about this and I am not getting very many answers at this time.

Answer
I assume 15.5 is a percentage of total white cells. The total white cell count is therefore not high. This is not my area of expertise and I have not seen your son so any comment I make is ill-informed. You are best speaking to the doctor who has seen your son. My guess is that the risk is low but that is a poorly-informed guess! Obviously you will only get a definitive answer when the lymph node is removed and examined, if that is felt necessary.

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Dr Graham Smith

Expertise

I am accredited in general paediatrics and paediatric nephrology and and am happy to answer questions on both topics. It is not possible or safe to assess acutely sick children through this medium. Such children should be taken to their own doctor, where a full history can be taken and an examination carried out.

Experience

I have been a consultant paediatrician and paediatric nephrologist for 13 years. I have been involved in paediatrics for 22 years.

Organizations
Royal College of Paediatrics and Child Health
British Association for Paediatric Nephrology
European Society for Paediatric Nephrology
International Pediatric Nephrology Association

Publications
Archives of Disease in Childhood
British Medical Journal
Pediatric Nephrology
Current Paediatrics
Nephrology, Dialysis and Transplantation
Nephrology and Urology

Education/Credentials
MA (Cantab)
MB BS (London)
MRCP
FRCPCH

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