Groin Lymphadenopathy: Causes, Concerns, and Recovery - Oncology

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Inguinal lymphadenopathy


Hello, doctor.
Recently, I experienced swelling of the lymph nodes in the groin area, along with recurrent inflammation, which even extended to the cervical lymph nodes.
Therefore, I went to the hematology department for examination.
The pathology report showed no major issues, indicating that my immune system has been activated.
I later underwent a biopsy, and I have since had the stitches removed, and it has been two weeks.
I would like to ask if the lymph node at the biopsy site can become more swollen due to the biopsy surgery.
I feel some pain when applying slight pressure near the wound, and I wonder if this is a common occurrence.
Thank you.
Additionally, I would like to ask if there is only one type of tongue ulcer.
I have experienced ineffective topical treatments and alternating ulcers on both sides.
In the past, when I received medication from my dentist, it healed quickly, but now my mouth and tongue ulcers do not hurt unless they come into contact with the wound.

A Mu, 20~29 year old female. Ask Date: 2021/06/24

Dr. Hu Ziren reply Oncology


In the early stages after a biopsy, the wound may experience localized inflammation and swelling.
Once the wound heals and scabs over, there may be localized hardening, and pressing on it may cause tenderness, which is considered normal.
For recurrent mouth and tongue ulcers, it is advisable to consult a specialist in immunology or rheumatology.

Reply Date: 2021/06/24

More Info


Groin lymphadenopathy, or swelling of the lymph nodes in the groin area, can be a concerning symptom that often indicates an underlying issue. The lymphatic system plays a crucial role in our immune response, and lymph nodes can become enlarged due to infections, inflammatory conditions, or malignancies. In your case, the activation of the immune system suggests that your body is responding to some form of insult, which could be infectious or inflammatory in nature.

When it comes to the concern about whether the lymph node will become more swollen after a biopsy, it is important to understand that some degree of swelling can be expected post-surgery. The lymph node may indeed appear larger temporarily due to the trauma of the procedure, as the body responds to the surgical intervention with inflammation. This is a normal part of the healing process. However, if the swelling persists or worsens significantly, or if you experience increasing pain, redness, or discharge from the incision site, it would be prudent to consult your healthcare provider. They may want to rule out any potential complications, such as infection or hematoma formation.

Regarding the pain you experience when applying slight pressure to the area, this is also common after a surgical procedure. The tissue around the lymph node may be sensitive as it heals, and any manipulation can cause discomfort. As healing progresses, this sensitivity should diminish. If the pain is severe or accompanied by other concerning symptoms, follow up with your doctor.

As for your question about oral ulcers, or "舌頭破," there are indeed multiple forms these can take. Common types include aphthous ulcers, which are small, painful sores that can appear on the tongue, inside the cheeks, or on the gums. These ulcers can be triggered by various factors, including stress, certain foods, or underlying health conditions. The fact that you have experienced ulcers that seem to alternate sides could suggest a recurrent condition, such as recurrent aphthous stomatitis, which is characterized by periodic outbreaks of these sores.

If topical treatments have been ineffective, it may be worth discussing alternative treatments with your healthcare provider. They may recommend different medications or therapies, such as corticosteroids or other anti-inflammatory agents, to help manage the pain and promote healing. Additionally, if you notice that the ulcers are becoming more frequent or are not healing as expected, it might be beneficial to investigate potential underlying causes, such as nutritional deficiencies (like vitamin B12, folate, or iron), autoimmune conditions, or other systemic diseases.

In summary, while groin lymphadenopathy can be concerning, the post-surgical swelling and pain you are experiencing are likely part of the normal healing process. Keep an eye on your symptoms, and don't hesitate to reach out to your healthcare provider if you have any concerns. For your oral ulcers, consider discussing your symptoms with a dentist or physician to explore effective treatment options and rule out any underlying issues.

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