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| Amy Thorne
- Fri Dec 29, 2006 2:13 am
I am a 36 year old women, who had squamouscell carcinoma removed 18 months ago from my the right side of my tongue. I have just discovered what I believe to be a swollen supraclavicular node on my left side. I am concerned, based on what I have been reading on the internet. My doctor however, isn't as concerned. He thinks since it is on the opposite side, it is not a big deal. What should I do? Prod him to investigate more, or accept that I am being a hypochondriac and move on? I have little to no pain, when touching the node, but have experienced some pain, prior to discovering the swelling on my left side in my upper chest area.
Thanks for your help.
| Dr. Safaa Mahmoud
- Fri Dec 29, 2006 3:44 am
Abnormal Lymph node enlargement tends to commonly result from infection / immune response, cancer and less commonly due to infiltration of macrophages filled with metabolite deposits (eg, storage disorders).
Sometimes, following infection Lymph nodes occasionally remain permanently enlarged, though they should be non-tender, small (less the 1 cm), have a rubbery consistency and none of the characteristics described for malignancy or for infection.
An increase in nodal size on serial examinations is significant. Hence nodes that continue to grow in size are important and those that regress in size tend to be more reassuring.
Bilateral and contralateral metastases from lateral tongue cancers are uncommon bu occur.
I advise you to follow up with your doctor.
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