Sudden Lumps: When to Seek Medical Attention - Oncology

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Sudden onset of a lump?


Hello Doctor,
I am currently seeking a brief consultation as it is quite inconvenient to receive medical care abroad.
I would like to assess whether I need to return to Taiwan for immediate treatment.
My current condition is as follows: I have developed lumps near my lymph nodes within a short period of one week.

Specifically, I have lumps on both sides of my groin, under my jaw, and about two centimeters below my right ear on my neck.
In the groin area, there is one lump on each side, varying in size from about a one-dollar coin to a five-dollar coin.
The surface feels smooth, and there is no significant pain upon palpation; the smaller lump feels harder, while the larger one feels more elastic.

Under my jaw, there are two adjacent lumps, each approximately the size of a red bean.
They feel relatively firm, and sometimes I experience a sensation of fullness.
There is slight tenderness upon pressing, but at times I do not feel anything.
A few years ago, I had a similar lump in the same location, which was excised and found to be benign.

Regarding the area about two centimeters below my right ear on my neck, it is similar to the lumps under my jaw, with two adjacent lumps, each about the size of a red bean.
They also feel firm, and I occasionally experience a sensation of fullness, with slight tenderness upon pressing, but sometimes there is no sensation at all.

If these symptoms can be monitored for a period of time to see if they increase in size, would that be advisable? Thank you for your valuable time, and I look forward to your response.

Steven Chiu, 20~29 year old female. Ask Date: 2017/07/31

Dr. Chen Sirong reply Oncology


Steven Chiu / 25 years old / Male
Hello,
1.
The lymphadenopathy is located on both sides of the groin, the jawline, and the right ear.
This is quite widespread.
There is still a possibility of lymphoma.
From a physician's perspective, if I advise you to observe for a period of time to see if the lymph nodes increase in size before taking action, and it later turns out to be cancer, it would reflect poorly on my practice.
2.
We will ask for observation:
2.1 He has already noticed it for some time.
2.2 He has only one lymph node or it is only in one location.
2.3 He has seen a doctor, so I believe he should see a physician first! After consulting abroad, if the doctor deems further examination necessary, then he can return to Taiwan.
Thank you for your letter.
Taoyuan Hospital
Dr.
Chen Sih-Rong

Reply Date: 2017/07/31

More Info


When it comes to sudden lumps or swelling in the lymph nodes, it is essential to approach the situation with caution and awareness of the potential underlying causes. Based on your description, you have developed several lumps in various locations, including the groin, jaw, and neck, over a short period of one week. The characteristics of these lumps, such as their size, texture, and tenderness, can provide valuable information for assessing their significance.

Lymph nodes are part of the immune system and can become enlarged for various reasons, including infections, inflammation, or malignancies. The fact that you have multiple swollen lymph nodes in different areas raises the possibility of a systemic response, which could be due to an infection (viral or bacterial), autoimmune conditions, or, less commonly, malignancies.


Key Points to Consider:
1. Characteristics of the Lumps:
- The lumps you described as smooth and varying in size (from the size of a coin to a red bean) and texture (some hard, some more elastic) are noteworthy. Lumps that are hard and fixed may be more concerning than those that are soft and mobile.

- The presence of tenderness upon palpation, especially if it fluctuates, can indicate inflammation or infection.

2. Associated Symptoms:
- It is crucial to consider any accompanying symptoms such as fever, night sweats, weight loss, or fatigue. These symptoms can provide additional context for the lumps' significance.

- If you experience systemic symptoms, it may indicate a more serious condition that requires prompt medical evaluation.

3. Duration and Changes:
- Monitoring the lumps over time is essential. If they persist beyond a couple of weeks, increase in size, or if new symptoms develop, it is advisable to seek medical attention.

- The fact that you have had a similar lump in the past that was benign is reassuring, but it does not eliminate the need for further evaluation, especially given the new lumps.

4. When to Seek Medical Attention:
- If the lumps do not resolve within a week or two, or if they continue to grow, become increasingly painful, or are accompanied by systemic symptoms, you should seek medical attention promptly.

- Given your history of a previous benign lump, it may be wise to consult a healthcare provider for imaging studies (like an ultrasound) or a biopsy to rule out any serious conditions.


Recommendations:
- Self-Monitoring: Keep track of the size, tenderness, and any changes in the lumps. Note any new symptoms that may arise.

- Consultation: If you are unable to return to your home country for medical care, consider seeking local medical advice. Many healthcare providers can offer telemedicine consultations, which may be beneficial.

- Emergency Signs: If you experience severe pain, difficulty swallowing or breathing, or any other alarming symptoms, seek immediate medical attention.

In conclusion, while some lymph node swellings can be benign and self-limiting, the sudden appearance of multiple lumps warrants careful observation and potentially further evaluation. It is always better to err on the side of caution when it comes to changes in your health, especially when they involve the lymphatic system.

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