Swollen Lymph Nodes: Are They Always Cancerous?

Lymphadenopathy

Doctor, doctor!!! I'm sorry to ask! 😭 Two weeks ago, I felt a lymph node about 0.8 mm in size in my neck.
It moves around when I touch it, but it doesn't hurt.
Recently, in the last two days, I suddenly felt two more lymph nodes of the same size, also 0.8 mm, in my neck upon waking up.
They feel soft and move around as well, but they are not painful.
Does the fact that these lymph nodes are not painful mean that they are definitely malignant? I have no other discomfort in my body, so why did I suddenly develop two more in such a short time? They are only in my neck; there are none elsewhere.
I have already made an appointment with an ENT specialist at Changhua Christian Hospital, but I'm really worried that it might be something serious.
I kindly ask for your guidance, doctor.

Omai Ga, 10~19 year old female. Ask Date: 2018/03/22

Dr. Hu Ziren reply Oncology

It is likely just lymphadenopathy; avoid constantly irritating it, and it should resolve on its own after some time.

Reply Date: 2018/03/22

More Info

Swollen lymph nodes can be a source of concern for many individuals, especially when they appear suddenly or change in size. It's important to understand that not all swollen lymph nodes are indicative of cancer. In fact, lymph nodes can swell for a variety of reasons, including infections, inflammation, and malignancies.
In your case, you mentioned discovering a lymph node in your neck that is approximately 0.8 cm in size, which is movable and painless. The fact that it is movable and not painful is generally a reassuring sign. Lymph nodes that are associated with infections or inflammatory processes tend to be tender and may be fixed in place. On the other hand, malignant lymph nodes are often hard, fixed, and painless. However, this is not a definitive rule, as there are exceptions.

The sudden appearance of two additional lymph nodes in a short period can be alarming, but it is not uncommon for lymph nodes to react to various stimuli in the body. For instance, they can swell in response to infections, even if you are not experiencing other symptoms. Viral infections, in particular, can cause lymph nodes to enlarge without significant accompanying symptoms.
It is also worth noting that lymph nodes can remain enlarged for an extended period after an infection has resolved. This phenomenon is known as reactive lymphadenopathy, where the lymph nodes remain enlarged due to a previous immune response.
Given that you have already consulted with an ENT specialist, it is advisable to follow their recommendations. They may suggest monitoring the lymph nodes over time, as many cases of swollen lymph nodes resolve on their own without the need for invasive procedures. If the lymph nodes change in size, become painful, or if you develop other symptoms, further evaluation may be warranted.

In summary, while the presence of swollen lymph nodes can be concerning, especially when they appear suddenly, it is essential to consider the context. Movable, painless lymph nodes are less likely to be cancerous, but ongoing monitoring and consultation with healthcare professionals are key. If you have any further concerns or if the situation changes, do not hesitate to seek medical advice. Regular check-ups and communication with your healthcare provider are crucial in managing your health and alleviating your worries.

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