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Forum Name: Lymphoma

Question: strange headaches and enlarged lymph node on left side of ne

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 Nicfrillo - Fri Sep 30, 2005 10:37 am

I am experiencing strange headaches that feel like muscular pain whenever I move my head and when I stand up my head throbs severly. My neck also feels very stiff at times. I have had a low grade fever and the other morning I woke up and had a very swollen lymph node on the left side of my neck. I went to see the doctor who put me on antibiotics (clindamycin) even though my WBC count was normal and told me to expect the lymph node to go down in 2 to 3 days. I am Type One diabetic and have Graves disease. I am concerned because the lymph node is swollen only on the left side, I have no evidence there is an infection, the node is not painful, I cannot move it, and it feels rubbery. I have no sore throat but have been feeling very fatigued for the past few days and have a decreased appetite. Should I be concerned?
 Theresa Jones, RN - Mon Dec 19, 2005 6:46 am

User avatar Hi Nicfrillo,
Have you had a re-evaluation regarding the lymph node enlargement since your treatment with the course of antibiotics was completed? 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. A group of nodes that feels connected and seems to move as a unit is said to be "matted." Nodes that are matted can be either benign (e.g., tuberculosis, sarcoidosis or lymphogranuloma venereum) or malignant (e.g., metastatic carcinoma or lymphomas). The presence of fever is commonly associated with infections. However, constitutional symptoms such as fever, weight loss, fatigue or night sweats could also suggest disorders such as tuberculosis, lymphoma, collagen vascular diseases, unrecognized infection or malignancy. Keep in mind that lymph nodes that become enlarged due to bacterial/viral infection may not return to their pre-infectious size after the infection subsides. An increase in nodal size on serial examinations is significant. If you have had no improvement of symptoms or they have continued to worsen over a period of time I would suggest that you notify your physician for an evaluation.
Theresa Jones, RN

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