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Forum Name: Lymphoma

Question: Painful Node on Jawline (left side only)


 reggietoga - Thu Jul 06, 2006 8:50 am

in the past 6 months, i have had 3 flare ups in this area. the node will flare up and become sore for aprox 10 days and then the pain will go away (jawline, left side of neck).

this has never happened to me before and seems strange that it happened 3 times within this 6 month period.

i did have some sort of illness that was never diagnosed (severe stomach cramping, pain), and now i have what i call constant "brain fog" and some fatigue.

it is the same node that keeps getting sore. i went yesterday for a CT scan w/contrast so i am waiting for the results. I also took a western blot test to check for lymes. but its just seems strange that the same node keeps becoming sore. does anyone have any ideas or help? thank you
 Theresa Jones, RN - Mon Aug 07, 2006 5:34 am

User avatar Hi reggietoga,
The submandibular lymph nodes are located along the underside of the jaw on either side. They drain the tongue, submaxillary gland, lips and mouth, conjunctivae. Common causes of enlargement include infections of head, neck, sinuses, ears, eyes, scalp, pharynx.
Pain/Tenderness. When a lymph node rapidly increases in size, its capsule stretches and causes pain. Pain is usually the result of an inflammatory process or suppuration, but pain may also result from hemorrhage into the necrotic center of a malignant node. The presence or absence of tenderness does not reliably differentiate benign from malignant nodes.[1]
Stony-hard nodes are typically a sign of cancer, usually metastatic. Very firm, rubbery nodes suggest lymphoma. Softer nodes are the result of infections or inflammatory conditions. Suppurant nodes may be fluctuant. The term "shotty" refers to small nodes that feel like buckshot under the skin, as found in the cervical nodes of children with viral illnesses.
Constitutional symptoms such as fever, weight loss, fatigue or night sweats could suggest disorders such as tuberculosis, lymphoma, collagen vascular diseases, unrecognized infection or malignancy. The presence of fever is commonly associated with infections.
Infected Lymph nodes however, tend to be firm, tender, enlarged and warm. Inflammation can spread to the overlying skin, causing it to appear reddened. The fact that the area enlarges and then decreases in size even though it has been repeated in the same area would be more indicative of an underlying infection in one of the above stated areas of "common causes of enlargemnent". I am glad however that further diagnostics have been completed and I hope that all has turned out well.
Sincerely,
Theresa Jones, RN



References:
=========
1. Fijten GH, Blijham GH. Unexplained lymphadenopathy in family practice. An evaluation of the probability of malignant causes and the effectiveness of physicians' workup. J Fam Pract 1988;27: 373-6.

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