Concerns About a Newly Discovered Lymph Node in the Neck - Oncology

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Today, I suddenly felt a lymph node in the back of my neck?


Today, I suddenly felt a lymph node on the left side of my neck.
It's about the size of a fingertip, slightly smaller than half of it.
It feels soft and is likely movable; it's not very noticeable and I can only feel it by pressing firmly with my fingers.
I'm a bit worried...
I already have a tumor at the location of my Adam's apple, but its size hasn't changed for several years.
However, I had a CT scan of my head and neck in the past two months, and the doctor said that the tumor on my Adam's apple is likely benign and advised me to continue monitoring it.
He didn't mention any abnormalities in my posterior neck.
I also visited the same doctor this month for a follow-up on the Adam's apple tumor, and he performed a physical examination of my entire neck, stating that there were no issues.
He suggested a follow-up in three months.
Should I be reassured about the lump I felt in my posterior neck today? Is it unlikely for lymphoma to develop so quickly? I'm sorry, doctor, I tend to get anxious easily.
Thank you for your response.

Luo Kairen, 20~29 year old female. Ask Date: 2018/05/19

Dr. Chen Yunfang reply Oncology


Hello: Many people often mistake subcutaneous lipomas (benign tumors) for malignant lymphoma.
Generally, the posterior neck area is not a pathway for blood vessels, and there are very few lymph nodes distributed there, making the likelihood of palpating lymphoma in that area extremely low.
Let's observe further; that area is not a "hot zone" for lymphoma diagnosis.
Thank you for your response.

Reply Date: 2018/05/19

More Info


When it comes to concerns about newly discovered lymph nodes, particularly in the neck area, it is important to approach the situation with a balanced perspective. Based on your description, you have recently noticed a lymph node in your left posterior neck that is soft, movable, and not very prominent. Additionally, you mentioned that you have a known tumor in the thyroid area that has remained stable for several years, and recent imaging studies did not indicate any abnormalities in your neck.

Firstly, it is essential to understand that lymph nodes can enlarge for a variety of reasons, including infections, inflammation, or malignancies. In your case, the fact that the lymph node is soft and movable is generally a reassuring sign. Lymph nodes that are hard, fixed, or immobile are more concerning and may warrant further investigation. The size of the lymph node you described, being approximately the size of a fingertip, is also relatively small, which is another positive indicator.

Your previous imaging studies, including a CT scan of the head and neck, did not reveal any abnormalities in the lymph nodes, which further supports the likelihood that this new lymph node is benign. It is also worth noting that lymph nodes can react to various stimuli, including infections or even minor injuries, leading to temporary enlargement. Given that you have a history of a stable thyroid tumor and recent evaluations have not raised any alarms, it is reasonable to maintain a level of reassurance.

Regarding your concern about lymphoma, it is important to note that lymphomas typically present with more significant symptoms, such as persistent swelling of lymph nodes, night sweats, unexplained weight loss, and fever. The rapid formation of lymphoma is less common, and the timeline you provided does not suggest an acute process.
That said, your anxiety about the situation is understandable, especially given your history and the nature of health concerns. It is crucial to communicate openly with your healthcare provider about your worries. If the lymph node remains unchanged or continues to be soft and movable, it may be appropriate to monitor it over time, as your physician suggested. Regular follow-ups and imaging can help ensure that any changes are detected early.

In summary, while it is natural to feel anxious about new findings in your body, the characteristics of the lymph node you described, along with your recent medical evaluations, suggest that there is likely no cause for alarm. However, if you notice any changes in the lymph node's size, consistency, or if you develop new symptoms, it is advisable to seek medical attention promptly. Maintaining regular follow-ups with your healthcare provider will help you stay informed and alleviate some of your concerns.

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