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Forum Name: Pediatric Topics

Question: Removal of Cervical Lymph Node


 TWINSMOM - Tue Jan 17, 2006 10:38 pm

Hi! My 4 year old is having a cervical lymph node removed due to its large size. They will biopsy it when removed. What are the possible diagnosis. Two years ago she had 2 surgeries to remove cervical lymph nodes on the opposite side and a different area that were atypical mycobacterium. All the doctors say it is impossible to have it a 2nd time but don't offer what the other possiblilties are. She has had ongoing medical/lab issues since after the original infection but never thought to be related. The lymph node now is about the size of a .50 cent piece, is not painful, and is movable. It is not hard like the one before. She has no fevers but has lost just over a pound and hadn't gained any in a year. Basic labs last week everything was normal except her lyphocytes were high but they have always been high everytime she has it checked. What are the likely diagnosis? Any ideas would be helpful.

Thank you
Tammy
 Dr. Heba Ismail - Fri Jan 20, 2006 1:40 pm

Enlarged cervical lymph nodes could result from infectiuos and non-infectious causes.
I believe this is just a 'non-specific' lymph node that has developed in reaction to a single or repeated infection, where the lymph node enlargement has persisted beyond the infection.
However, it is too soon to tell before we have the results of the biopsy.
So please keep us informed.

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