A large and a small mass on the left side of the neck?
Hello Doctor, at the end of July, I felt pain near my jaw, but there were no other symptoms.
Then, in early August, I had acute gastroenteritis.
The doctor found a small hard lump on the left side of my neck, which he suspected to be a lymph node, and advised me to monitor it for a week.
After my gastroenteritis improved, the lymph node became larger (about 2 cm), painful to touch, and felt hard, but there was no redness or heat.
I didn't have any other discomfort.
Later, I went to a large hospital to see an ENT specialist, who performed a nasal endoscopy and said there were no abnormalities.
However, he felt another small lump below the approximately 2 cm lymph node.
The doctor prescribed me a week's worth of medication (non-steroidal anti-inflammatory drugs, blood clotting capsules, and oral Cefuroxime).
I am currently on the third day of the medication, but I feel very anxious and have trouble sleeping at night.
I would like to know if a simple lymphadenitis will completely resolve with medication (because the gastroenterologist mentioned that some people may not fully recover).
Is there a possibility that this could be cancer? Is the appearance of this related to psychological stress? Thank you, Doctor.
I will make an effort to eat more vegetables (as my diet is currently unbalanced).
Xiao Gao, 20~29 year old female. Ask Date: 2018/08/15
Dr. Chen Sirong reply Oncology
Hello, Xiao Gao.
Regarding your condition: 1.
The lymph nodes have become larger (approximately 2 cm).
2.
They feel firm.
3.
There is also a small one that may indeed have a possibility of cancer.
It is reasonable for the physician to prescribe antibiotics initially, considering inflammation.
However, I recommend that you continue to consult with the ENT department at the major hospital where you were initially seen, and communicate your concerns with the physician.
If the condition persists and continues to enlarge, the physician will consider performing a biopsy or possibly excising it for further examination.
Currently, it may not necessarily be related to psychological stress.
Wishing you a speedy recovery.
Sincerely, Chen Si-Rong, Taoyuan Hospital.
Reply Date: 2018/08/15
More Info
Enlarged lymph nodes can be a source of concern for many individuals, especially when they are accompanied by symptoms such as pain or discomfort. In your case, the lymph node near your jaw has increased in size to about 2 cm and is painful upon palpation. It’s understandable to feel anxious about this situation, particularly with the potential implications of lymphadenopathy, which can range from benign causes to more serious conditions.
Lymph nodes are part of the lymphatic system, which plays a crucial role in the body’s immune response. They can become enlarged for various reasons, including infections, inflammatory conditions, and malignancies. In your case, the initial acute gastroenteritis may have triggered a reactive lymphadenopathy, which is a common response to infections. The fact that your lymph node is painful and has increased in size suggests that it may still be reacting to an underlying infection or inflammation.
The medications prescribed to you, including Cefuroxime, are antibiotics that can help treat bacterial infections. If the lymphadenopathy is indeed due to a bacterial infection, you may see improvement with the course of antibiotics. However, it’s important to note that not all lymphadenopathy resolves with medication, especially if the underlying cause is not solely infectious. Some lymph nodes may remain enlarged for a period even after the infection has resolved, and this can be a source of anxiety for patients.
Regarding your concerns about cancer, while it is true that persistent lymphadenopathy can sometimes be associated with malignancies, the majority of cases of enlarged lymph nodes are due to benign causes, particularly infections. Factors such as the duration of the enlargement, associated symptoms (like fever, night sweats, or weight loss), and the characteristics of the lymph node (such as firmness and tenderness) are important in assessing the likelihood of malignancy. In your case, the lymph node is painful and has been associated with a recent infection, which leans more towards a benign cause.
As for the psychological aspect, stress and anxiety can indeed have an impact on your overall health and immune function. Chronic stress may lead to increased inflammation in the body, which can exacerbate existing conditions. It’s important to manage stress through healthy coping mechanisms, such as regular exercise, a balanced diet, and adequate sleep. You mentioned that your diet has been unbalanced; incorporating more fruits and vegetables can support your immune system and overall health.
In summary, while it is natural to feel anxious about enlarged lymph nodes, especially with the potential for serious conditions, the likelihood of your lymphadenopathy being benign is high, particularly given the context of a recent infection. It is crucial to follow up with your healthcare provider, especially if the lymph node does not decrease in size after completing your antibiotic course or if you develop new symptoms. Regular monitoring and communication with your doctor will help alleviate your concerns and ensure appropriate management of your condition.
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