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- Sat Nov 26, 2005 4:06 pm
Mobile lump found on the left side of neck, around a month or two ago. Doctor referred me for a blood test, all were negative(looking for viral infections). Saw a consultant after week of antibiotics which had no effect on the lump. Consultant stated it was 'a lymph node that was not going down to infection', the lump is painless and very mobile. It has stayed in size, no symptoms, had slight itchiness but is probably generic itching, currently have a itching fingertip, I would like a opinion of the professionals here to have a extra reassurance its not lymphoma.
| Dr. Tamer Fouad
- Sun Nov 27, 2005 2:29 am
Thank you for dropping by The Doctors Lounge. The presence of an enlarged lymph node in the neck could be due to several diseases and not only due to lymphoma. Many things are taken into consideration when attempting to reach a diagnosis.
The size of a lymph node (smaller than 1 cm lymph nodes tend to be less important), the consitency, the mobility and the persistence after a course of antibiotics are all clinically significant details.
Obviously the most prudent way to go about reaching a diagnosis is to eliminate the most dangerous possibilities first which in your case would mean cancer.
Based on clinical evaluation, your doctor can assess how demanding the situation is.
If this is the only clinically significant lymph node enlargement that you have; then usually, the next step based on clinical examination would be a CT/MRI scan of the head and neck regions to exclude cancer of the head or neck. At the same time a fine needle aspiration cytology (not a biopsy) from the lymph gland is warranted.
Many lymph gland enlargments turn out to be benign (reactive); however, no caring doctor will rest his mind until he has excluded these dangerous possibilties by every means available.
Your doctor may also opt to wait a little longer before referring you for investigations if he considers the situation to be less risky.
Do keep us posted.