Lymph Nodes: What to Do If You Find One Near Your Collarbone - Oncology

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A lymph node is palpable in the left supraclavicular fossa?


Hello Doctor, on February 14th, I accidentally felt a lymph node in the indentation of my left clavicle, about the size of a red bean.
It is round in shape, movable, but not painful.
I am hesitant to press on it too hard for fear of irritating it.
On February 11th, I received my third dose of the vaccine (Moderna), while the first two doses were AstraZeneca.
I am unsure if this lymph node has always been there or if it suddenly appeared, or if it is related to the vaccine.
I have been researching online, and the more I read, the more anxious and fearful I become.
I am currently troubled about whether I should see a doctor, and if so, which specialty I should consult.
Thank you for your assistance.

Xiao Zhen, 30~39 year old female. Ask Date: 2022/02/16

Dr. Chen Sirong reply Oncology


Xiao Zhen / 38 years old / Female
Hello, 1.
Which department should I visit?
A: General Surgery, and it's also good to have a breast examination.
Taoyuan Hospital, Dr.
Chen Si-Rong.

Reply Date: 2022/02/16

More Info


When you discover a lymph node near your collarbone, especially one that is about the size of a red bean, it can understandably cause concern. Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in your immune response. They can swell for various reasons, including infections, inflammation, or, in some cases, malignancies.
In your case, the lymph node you felt is movable and not painful, which is generally a reassuring sign. Painful lymph nodes are often associated with infections, while painless ones can sometimes indicate other conditions. The fact that you recently received a vaccine (Moderna) could also explain the swelling. Vaccines can stimulate an immune response, leading to temporary lymph node enlargement as your body builds immunity. This is particularly common with vaccines that target viral infections.

Given the context of your recent vaccination and the characteristics of the lymph node, it is possible that this is a benign reaction. However, it is essential to monitor the lymph node. If it persists, increases in size, or if you develop other symptoms (such as fever, night sweats, unexplained weight loss, or persistent fatigue), you should seek medical attention.

As for which specialist to consult, you would typically start with a primary care physician or a family doctor. They can perform an initial evaluation, including a physical examination and possibly some blood tests or imaging studies if deemed necessary. If the lymph node remains a concern, they may refer you to a specialist, such as an internist or an oncologist, depending on the findings.

In summary, while it is natural to feel anxious about finding a lymph node, especially after a recent vaccination, many lymph nodes can swell due to benign causes. It is advisable to keep an eye on it and consult a healthcare professional if you have any concerns or if the lymph node does not resolve in a reasonable timeframe. Remember, early evaluation and reassurance can often alleviate anxiety and lead to appropriate management if needed.

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