Groin Lymph Nodes: When to Seek Medical Evaluation - Oncology

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Inguinal lymph nodes


I am not sure if it's because I am relatively thin, but I can feel several lymph nodes in my body, particularly on both sides of the groin area.
There are quite a few that feel relatively large, oval-shaped, and about 2 centimeters in size.
Their positions are symmetrical, and I have been able to feel these nodes for several years.
They are located on both sides of the V-shaped area of the groin, and they are almost imperceptible to the naked eye; I can only detect them by touch.
Should I get this checked? Additionally, how should I measure the size of a lymph node? I have one on the back of my neck that feels swollen; when I palpate it with my fingers, it feels about the size of a knuckle, and when I estimate with a ruler, it is about 1.5 centimeters.
However, an ENT doctor examined it and said it was only about 0.5 centimeters.
I asked why there was such a discrepancy, and he said it was because he was the one examining it.
Thank you, doctor.

Xiao Chen, 20~29 year old female. Ask Date: 2016/07/03

Dr. Chen Yunfang reply Oncology


Hello:
1.
The ability to palpate lymph nodes is not related to body weight.
While everyone has a lymphatic system, under normal circumstances, lymph nodes are not palpable.
If they can be felt, it is considered abnormal.
Many times, this can occur due to conditions such as colds, fevers, or inflammation, and they usually resolve within a few weeks.
However, in rare cases, it may be associated with cancer, in which case they will not spontaneously resolve and will continue to enlarge.

2.
Based on your situation, I still recommend that you see a hematologist so that a physician can examine you.
If there is a genuine concern, a lymph node biopsy may be suggested.

3.
Physicians with more clinical experience will be more accurate in their examinations.

Thank you!

Reply Date: 2016/07/03

More Info


When it comes to understanding lymph nodes, particularly those in the groin area, it is essential to recognize their normal function and when changes may warrant medical evaluation. Lymph nodes are small, bean-shaped structures that play a crucial role in the immune system, filtering lymph fluid and trapping pathogens, such as bacteria and viruses. They can be found throughout the body, including the neck, armpits, and groin.

In your case, you mentioned that you can palpate several lymph nodes in the groin area, some of which are approximately 2 cm in size. It is not uncommon for individuals, especially those who are lean, to feel their lymph nodes more easily. However, the size, consistency, and tenderness of these lymph nodes are critical factors in determining whether further evaluation is necessary.

Generally, lymph nodes that are less than 1 cm in size and are not associated with other symptoms (such as fever, night sweats, unexplained weight loss, or persistent fatigue) are often considered normal. However, lymph nodes that are larger than 1 cm, especially if they are hard, fixed to surrounding tissues, or accompanied by systemic symptoms, may require further investigation.

In your situation, since you have been able to feel these lymph nodes for several years without any significant changes or accompanying symptoms, it may not be urgent to seek medical evaluation. However, it is always wise to consult a healthcare professional if you notice any changes in size, consistency, or if you develop new symptoms.
Regarding the measurement of lymph nodes, it can be challenging to accurately assess their size through palpation alone, as different healthcare providers may have varying techniques and experiences. The discrepancy you noted between your self-assessment and the ENT doctor's evaluation could be due to several factors, including the technique used to palpate the lymph node and the subjective nature of the assessment.
For a more precise evaluation, imaging studies such as ultrasound, CT scans, or MRI can provide a clearer picture of the lymph nodes' size and characteristics. These imaging modalities can help differentiate between benign and potentially malignant lymph nodes based on their appearance and any associated findings.

If you are concerned about the lymph nodes in your groin, it is advisable to schedule an appointment with a healthcare provider. They can perform a thorough examination, consider your medical history, and determine if any additional tests are necessary. In some cases, a biopsy may be recommended if there is a suspicion of malignancy.

In summary, while it is common to feel lymph nodes, especially in lean individuals, the key factors to consider are their size, consistency, and any accompanying symptoms. If you have concerns or notice changes, seeking medical evaluation is always a prudent choice. Regular monitoring and open communication with your healthcare provider can help ensure your health and peace of mind.

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