Lymphoma? Please help

[jlg17]

Hi. I’m a 48 year old male. Had pain in throat and jaw bone for a year off and on. The pain also goes under my arms and in my chest and upper back. I cannot find any swollen nodes except on jaw bone I think I feel a little something but not sure.  I feel horrible. Fatigue and the pains and sometimes short of breath and no energy. I went to ent  and they looked down my throat and ordered a ct with dye of neck. They didn’t find anything. I went to my md six months ago and he ordered a ct with no dye form my chest and xrays and sono of my neck also was done leading up to all these tests. They find nothing. Well 6 months later I feel horrible. Pain in neck and under arms and chest and upper back. And the thing on my jaw bone. I also went to dentist to rule out that. I’m very tired and very worried it’s lymphoma. I am waiting on blood work as of now. I just think it’s lymphoma from this thing on my jaw line. I don’t even know if the ct scan looked that high up on my jaw line.  The fatigue is the worst. The pains in arms and upper back are not muscle pains. They are just weird pains that come and go. I was examined and they say they can’t feel any swollen nodes. Please help. What tests should I ask for or what could be going on.  Thx

[Ken_PA]

Hi, offhand there's not too much to point to lymphoma at this time. Although nodes usually go back down on their own after a while, sometimes they don't - for non-cancerous reasons such as a buildup of internal scar tissue, or an ongoing "immune activation".

My guess as of now is that there is some sort of immune reaction going on, which is causing all of your symptoms because immune cells produce powerful biochemicals. That especially applies to bad fatigue. But you shouldn't just forget about it without finding out the real cause, right?

Did you happen to have something like a very bad cold before all these symptoms started? Insect bite? Any fevers? Do you have a family history of unusual immune system conditions?

Can you post the sono report and the CT report of the neck? There might be a clue in there, that can possibly justify a biopsy.

Can you take a look at this diagram:
https://radiopaedia.org/cases/lymph-node-levels
and tell me what area (called a 'level') the suspected node is at?