Will Removing Enlarged Lymph Nodes Affect My Health? - Oncology

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Will the removal of enlarged lymph nodes have an impact on the body?


Hello, doctor.
I have two enlarged lymph nodes under my armpit, approximately 1.5 cm and 1 cm in size, which I noticed about a month ago (I’m not sure when they appeared).
My blood test results are normal.
The doctor I consulted at home said to observe them for over a month, but they haven't decreased in size, and their location makes it difficult to visually assess any changes.
They feel slightly harder than they did a month ago.
My aunt has had lymphoma, so I decided to have these two lymph nodes surgically removed for biopsy, and I am currently awaiting the results.
I would like to ask if removing these two superficial lymph nodes will have any impact on my body, such as an increased susceptibility to illness or infections, or issues like lymphedema.
I found information online stating that lymph nodes are considered organs and do not regenerate, so besides being worried about the biopsy results, I am also concerned about whether the removal of these two lymph nodes will have any long-term effects.
Thank you.

Xiao Mei, 30~39 year old female. Ask Date: 2021/03/08

Dr. Chen Yunfang reply Oncology


Hello: The human body has many lymphatic vessels and lymph nodes, numbering in the hundreds or thousands.
Removing just 1 or 2 nodes is not a significant issue.
It will not cause any lasting side effects, nor will it affect your immune resistance, so there's no need to worry.
Thank you.

Reply Date: 2021/03/08

More Info


Removing enlarged lymph nodes can raise concerns about potential impacts on your health, particularly regarding your immune system and susceptibility to infections. However, it is essential to understand the role of lymph nodes and the implications of their removal.

Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in your immune response. They filter lymph fluid and house immune cells that help fight infections and diseases. When lymph nodes become enlarged, it often indicates that your body is responding to an infection, inflammation, or, in some cases, malignancy. In your case, the decision to remove the lymph nodes for further examination is a prudent step, especially given your family history of lymphoma.

Regarding your concerns about health impacts post-surgery, it is important to note that the body has a remarkable ability to adapt. The removal of a few lymph nodes, particularly if they are superficial and not part of a critical lymphatic pathway, usually does not lead to significant long-term health issues. Many people live healthy lives after the removal of lymph nodes without experiencing increased susceptibility to infections or other complications.

However, there are some considerations to keep in mind:
1. Lymphedema: One potential complication of lymph node removal is lymphedema, which is the swelling that occurs when lymph fluid does not properly drain. This is more common when multiple lymph nodes are removed or if the lymphatic pathways are disrupted. Monitoring for signs of swelling in the affected area is essential.

2. Immune Function: While lymph nodes are crucial for immune function, the body has many lymph nodes throughout the body. The removal of a few nodes typically does not compromise your overall immune system significantly. Your body can still mount an effective immune response through the remaining lymphatic structures.

3. Infection Risk: There may be a slight increase in the risk of infections in the area where lymph nodes were removed, but this is generally manageable. Maintaining good hygiene and monitoring for any signs of infection, such as redness, swelling, or fever, is advisable.

4. Follow-Up Care: After the surgery, it is crucial to follow your healthcare provider's recommendations for follow-up care. This may include monitoring the surgical site, managing any discomfort, and discussing the results of the pathology report once available.

5. Psychological Impact: It's also worth noting that the emotional and psychological aspects of undergoing surgery and waiting for results can be significant. It may be beneficial to discuss your concerns with a healthcare professional or a counselor who can provide support during this time.

In summary, while the removal of enlarged lymph nodes can raise valid concerns, the body is generally capable of compensating for the loss of a few lymph nodes. It is essential to stay vigilant for any changes in your health and maintain open communication with your healthcare provider regarding your recovery and any potential symptoms you may experience. Your proactive approach to your health, including seeking medical advice and undergoing necessary procedures, is commendable and will serve you well in managing your health moving forward.

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