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The Doctors Lounge - Primary Care Answers

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Forum Name: Ear Nose and Throat

Question: Swollen Gland

Ally - Thu Jun 30, 2005 7:17 pm

my son of 11 yrs has a lump on the left side of his neck just below the ear. after an ultra sound been told that it is an enlarged node and required a chest x ray... after x ray had to get another ultra sound on his abdomen???? Told that spleen was slightly enlarged and my son needs a full blood count blood test and we now have to wait for another appointment next week!!!! extremely concerned parents!!!!!!!!!!!
Dr. Safaa Mahmoud - Tue Aug 08, 2006 12:00 am

Dear Ally,

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).

Enlarged spleen and Lymphadenopathy could be sue to:
- Infections most commonly viral infections like Infectious Mononucleosis IMN.

- Anemia due to different blood disorders: CBC , blood smear and bleeding tendency tests should be done .

- Lymphoproliferative disorders like lymphomas: bone marrow biopsy is required in most of the cases.
Was you child recovering from any illness recently like flu, sore throat; Viral infection mainly

Does he shows any other symptoms suggestive of Anemia, weak, easy fatigue, pale, etc

CBC with blood smear is essential to start with, then further investigations accordingly.

Follow up with your doctor is essential.
Best regards,

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