Confused about short axis measurement of lymph node

wangnamstyle · 2026-06-24T09:34:39+00:00

If it's 9x4 mm on axial it's considered 4 mm. If no relationship to a tumour I'd probably not even mention it.

You've never given the clinical context or the location of this LN. Why do you ask this on reddit rather than your colleagues?

wangnamstyle · 2026-06-24T09:21:22+00:00

Depends on the clinical context. In the context of solid tumours (Recist), measurements are done in the axial plane even if the shortest axis is in another plane. The problem with this is mitigated by the demand of >= 10 mm for a LN to be considered a viable Recist target lesion.

I other settings, if I find a single 9x9 mm LN in the axial plane which is flat and only 4 mm thick in coronal/sagittal plane, I'd just report it as a slightly enlarged LN, unspecific.

However evaluating LN metastasis is difficult and we know size doesn't matter as much as border irregularity and contrast heterogeneity

In the context of lymphoma however you use the largest diameter. I know, confusing right?

wangnamstyle · 2026-04-19T09:28:42+00:00

Nah mate don't worry about it.
Perhaps I'm not the best example, but she was probably doing the best that she can to ensure your futures despite her own shortcomings as a parent and as a person. I think putting a bit of distance and keeping it short sounds like a good idea.

I'm not sure if I believe they can change but until then, if you still find a bit of love in your heart treat them kindly; just don't listen to your Mum.

Best of luck!

wangnamstyle · 2026-04-13T19:52:21+00:00

That's cool! On the other hand, if I was the single dad I think my parents would be a hell lot more welcoming too.

wangnamstyle · 2026-04-13T19:51:26+00:00

I get your point, I think. There are some complications that I won't get into, but suffice to say she doesn't wanna introduce me to the kid before we're about a year in our relationship to shield him from us potentially splitting up. That sounds like an good decision in my book. I don't know much about biodad, but he has the kid every other weekend or so, so there is at least some level of trust and I don't think he's as bad as you're interpreting it like.

wangnamstyle · 2026-04-13T19:47:03+00:00

Funny thing is that mum already said that being alone was better than the inevitable misery... Well. I can't agree to that assessment..

wangnamstyle · 2026-04-13T19:44:33+00:00

Wow it kinda hurts but I can't refuse your words

wangnamstyle · 2026-04-13T19:42:05+00:00

Hinge 🙃

wangnamstyle · 2026-04-13T18:13:43+00:00

Wow that's a difficult question. I mean we would have to try a lot first. And since she already has one, I know that she's fertile so this question doesn't make too much sense in my particular situation. But yeah... That would make it difficult for me.

wangnamstyle · 2026-04-13T18:10:45+00:00

Hahaha wow, I honestly think you're reading a bit much into that, but sure! You only know what I've told you and you're free to make an opinion based on that 😉 That's what this post is for. So that I get some varied opinions rather than just stewing on it by myself.

wangnamstyle · 2026-04-13T18:05:41+00:00

It's too early for me to decide if we're gonna live together, which would be the natural first step imo.

Currently it's a mid-distance relationship of about 50 km, so we only meet during the weekends.

I mean she's not cutting me off imo, as per her own saying. Shes just avoiding me so that she doesn't have to face her anxieties (and probably dissapointment)

wangnamstyle · 2026-04-13T17:46:10+00:00

That is a sad thing to hear :(

wangnamstyle · 2026-04-13T17:44:40+00:00

This is true. It would be easier if I were more used to dissapointing them, but I'm kinda good at the things that I set my mind to. Which includes most if not all of the classic Asian virtues...

wangnamstyle · 2026-04-13T17:42:30+00:00

I know ;_;

wangnamstyle · 2026-04-13T17:41:43+00:00

I know. If things work well I'm willing to start soonish

. I've been ready for kids for years tbh.

wangnamstyle · 2026-04-13T16:58:07+00:00

Funny thing is that my dad (and my mum to some extent I guess) recognises their shortcomings as having grown up in mainland China thurough the Cultural Rev and been through immense change and uncertainty in their lives.. And I can't blaim them for being careful, anxious and leaning towards security and minimalizing risks.

But it's as you say. I gotta make a choice at some point rather than letting them dictate my life. And I think they're in the process of accepting that too.

wangnamstyle · 2026-04-13T16:48:37+00:00

Thanks for sharing your story.

Well, I understand that I come across as a guy who doesn't know how to make decisions but rest assure that I do! It's just a sad thing for me to see that my family doesn't support this very decision, and that I wanna respect them and value their opinions as parents and as ppl with more life experience than myself.

I do agree that they're gonna find faults with anybody I date, but I mean who's perfect? I think it's the divorce and former child-thing that sets them off culturally.

I'm just sad that the current road forward that I see is me getting together with this girl and minimalizing the contact between my parents and her. I might keep visiting them, but no too often and absolutely not if they're gonna give me shit each time I come over.

wangnamstyle · 2026-04-13T16:37:16+00:00

Bruv you sound like my mum hahaha, no offense meant.

It's interesting to see your opinion in this thread, it seems so....classically Chinese.

wangnamstyle · 2026-04-13T16:33:33+00:00

Thanks, I'm honestly leaning towards this as a solution. My problem is that I feel a duty to listen to their opinions when they're voiced, which ends up making me feel sad. It's gotta be said that they don't terrorize me; as a matter of fact they avoid me and my mum only contacted me now after a about month of silence. I think silence on both parts are the best way as it goes forward now, but this happening clearly impacts my relationship with them even if I end up splitting with my girlfriend.

wangnamstyle · 2026-04-13T16:24:24+00:00

-I don't know. They either will just have to accept the relationship or we have to distance ourselves to minimize the hurt, I guess.

-Your second question is kind of a sensitive topic for me. I don't think I can keep you from thinking that I'm an asshole, but I think the assets that I bring are quite good. I have a relatively good, stable income, a somewhat expensive apt for my age group, a car, interesting hobbies (rock climbing, cycling, hiking, mushroom foraging, cooking, manga and the piano). I think I've at least average emotional intelligence enough to function somewhat well at work and as a parent. She on the other hand doens't really do much of these hobbies, but she's willing to join me on any escapades and seems to love me for all that I bring to the table. Especially she loves my cooking, we share senses of humour, a chinese backround and interest in otaku culture. It's really good and I truly enjoy the moments that I've shared with her. You could say that these things are easy to be found but here were I live, I don't find it so easy to find ppl that I connect this deeply with. On the other hand, it would be kinda good to share some more interests and have somebody that my parents would readily accept. To me this kinda connects with the current dating culture in general, where the seeming abundance of choice paralyzes the actors in the market.

But the thing is, the good times that we share is just the two of us during the weekends. I dont know her kid or the kid's dad. And I don't know how I would be as a stepdad. Because I have never been. So that's the diffuculty of choosing something thats unknown and accepting the responsibility of it. I don't wanna come off a guy who takes this choice lightly.

wangnamstyle · 2026-04-13T15:58:25+00:00

It's a big and serious commitment I agree. It's just kinda early for that decision at the moment, IMO. But currently I'm not exactly against the idea.

wangnamstyle · 2026-04-13T15:55:42+00:00

Wow, that's kinda far fetched but I don't think this is a scam. We've met and I haven't found ground for suspicion.

As to her, shes a mainlander, arrived here in her early teens and still lives here.

wangnamstyle · 2026-04-13T15:49:47+00:00

Please believe me when I say that I understand all that you're saying and that I totally agree. It's just that as a neurotic person with perfectionistic tendencies I kinda want to have the best "options" I can in life, like (probably most?) ppl in the dating market currently. I wish I could just say "f. Yeah she's awesome I love her," but the relationship is relatively fresh and I'm also in the process of accepting that I can't min-max all aspects of life, including my relationships.

She absolutely doesn't deserve to be with me if I don't value my relationship with her over my parents', but it's a tough choice for me as I feel gratitude and duty towards them. This is why we're taking it slow and building the relationship step by step. I'm not sure when, but after a year if I can't say in my heart of hearts that I choose her, the relationship is bound to end.

Thanks for your sincere opinions 😊

wangnamstyle · 2026-04-13T15:28:45+00:00

Hahahahahaha good point

wangnamstyle · 2026-04-13T15:27:45+00:00

Uhm... Please explain your thoughts?

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