Lymph Node Removal: Impacts and Follow-Up Care - Otolaryngology

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Lymphadenectomy


Last year, at the end of the year, I discovered a lump on the left side of my shoulder and neck, so I went to the hospital for an ultrasound.
At that time, the doctor said it was a lipoma and recommended regular follow-up.
In early June, I noticed that the lump had hardened and was painful to touch.
I returned for a follow-up, and the doctor suggested that I either continue to observe it or proceed with surgical removal for further examination.
I chose to have it removed, and during the follow-up visit to discuss the results, the doctor informed me that it was not a lipoma but a benign lymph node.
I would like to ask what effects lymph node removal might have on the body.
Are lymph nodes and lymphoma the same thing? If it is benign, does that mean there won't be any issues? Do I still need to have regular follow-ups? Thank you for your response.

su, 20~29 year old female. Ask Date: 2017/07/06

Dr. Zheng Jueyi reply Otolaryngology


Hello: Local lymph node excision generally has no significant impact on the body.
Benign lymph nodes are different from lymphoma.
If the biopsy results are benign, it is recommended to have regular outpatient follow-up for observation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/07/06

More Info


Lymph nodes play a crucial role in the immune system, acting as filters for harmful substances and housing immune cells that help fight infection. When a lymph node is removed, as in your case, it can have several implications for your health and require specific follow-up care.


Understanding Lymph Node Removal
1. Impacts of Lymph Node Removal:
- Immune Function: The removal of lymph nodes can potentially affect your immune system, but this largely depends on how many nodes were removed and their location. In many cases, the body can compensate for the loss of a few lymph nodes, and your immune function may remain largely intact.

- Lymphedema: One of the most common complications following lymph node removal is lymphedema, which is swelling due to the accumulation of lymph fluid. This is more common when lymph nodes are removed from the groin or armpit areas, but it can occur anywhere in the body. It’s important to monitor for any swelling in the area where the lymph nodes were removed.

- Pain and Sensitivity: Some patients experience pain or sensitivity in the area where the lymph nodes were removed. This can be temporary or, in some cases, become a chronic issue.

2. Lymph Nodes vs. Lymphoma:
- Lymph Nodes: These are small, bean-shaped structures that are part of the lymphatic system. They help filter lymph fluid and are involved in the immune response.

- Lymphoma: This is a type of cancer that originates in the lymphatic system, specifically in the lymphocytes (a type of white blood cell). It is important to note that having lymph nodes does not mean you have lymphoma; rather, lymph nodes can be affected by various conditions, including infections, benign growths, and cancer.

3. Good News About Your Diagnosis:
- Since your pathology report indicated that the lymph node was benign, this is a positive outcome. Benign lymph nodes can be reactive due to infections or other non-cancerous conditions. The fact that it is not malignant means that, in general, you should not have to worry about cancer recurrence from that specific lymph node.

4. Follow-Up Care:
- Regular Monitoring: Even though the lymph node was benign, it is wise to continue regular follow-ups with your healthcare provider. They may recommend periodic imaging or examinations to monitor for any changes in your condition.

- Awareness of Symptoms: Be vigilant for any new symptoms, such as swelling, pain, or new lumps in the area or elsewhere in your body. If you notice any changes, it’s important to report these to your doctor promptly.

5. Lifestyle Considerations:
- Maintaining a healthy lifestyle can support your immune system. This includes a balanced diet, regular exercise, adequate hydration, and stress management techniques.

- If you experience any lymphedema, there are specific exercises and therapies that can help manage this condition. Consulting with a physical therapist who specializes in lymphedema management may be beneficial.

In conclusion, while the removal of a lymph node can have some impacts, many individuals live healthy lives after such procedures, especially when the lymph node is found to be benign. Regular follow-ups and being aware of your body are key components of post-operative care. If you have any concerns or experience new symptoms, do not hesitate to reach out to your healthcare provider for guidance.

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