Lymph Node Issues After COVID-19: Key Concerns and Insights

Lymph node-related issues?

Hello Dr.
Chen,
I have the following questions I would like to consult with you.
Since I was diagnosed with COVID-19 at the end of April, I have frequently noticed swollen lymph nodes in the neck area, which has made me worried about potential underlying issues.
The three main concerns I have are as follows:
1.
A family member was diagnosed with breast cancer, and in June, we both underwent an ultrasound examination at the hospital.
The doctor mentioned that there is a lymph node in my left armpit measuring approximately 2.3 cm that needs to be monitored.
Initially, it was thought to possibly be vaccine-related, but since I have not received the vaccine, the doctor suggested monitoring it for six months.
Should I consider getting it checked earlier, or is it acceptable to wait for the follow-up in six months?
2.
I have recently been frequently feeling swollen lymph nodes, sometimes behind my ears and in my neck.
I visited an ENT specialist who performed an ultrasound and indicated that it appears to be a common inflammation.
However, I have been experiencing recurrent sensations of lymph node inflammation.
Could this be related to my history of atopic dermatitis or allergic rhinitis making me more susceptible? Is there anything specific I should be particularly aware of?
3.
This morning, I felt another lymph node above my left clavicle.
It is not large and does not move easily.
I have cold symptoms, so I consulted an ENT doctor who said it feels like a typical inflammation upon examination.
Should I pursue further follow-up? Additionally, the doctor mentioned that frequently palpating or massaging it could potentially lead to continued swelling or even malignancy.
Is this a possibility? I am quite anxious and tend to touch it often, and I have read online that lymph nodes near the clavicle are more likely to indicate malignant metastasis, which frightens me.
Could this be a serious issue, or is it possible that my anxiety and frequent touching are causing the swelling?
I appreciate your guidance on these concerns.
Thank you.

Hui, 30~39 year old female. Ask Date: 2022/08/30

Dr. Chen Sirong reply Oncology

Hui / 31 years old / Female
1.
The doctor mentioned that there is a lymph node approximately 2.3 cm in size under my left armpit that needs to be monitored.
Since I have not received any vaccinations, the doctor suggested monitoring it for six months.
Should I consider getting it checked earlier?
A: A lymph node of 2.3 cm can be considered somewhat enlarged.
If the physician has performed breast ultrasound and other examinations and found no issues, I believe it would be reasonable to have it re-evaluated in three months.
If you are still concerned, you might consider paying out-of-pocket for a PET scan (which may affect pregnancy).
An out-of-pocket whole-body MRI (which does not affect pregnancy) could also be an option.
Additionally, seeking a second opinion from another major hospital could be beneficial, or you might consider a biopsy for further analysis.
2.
Recently, I have frequently noticed swollen lymph nodes, sometimes behind my ears and in my neck.
I have undergone ultrasound examinations in the ENT department, and the doctor indicated that it appears to be a common inflammation.
However, I have been experiencing recurrent sensations of lymph node inflammation.
Could this be related to my atopic dermatitis or allergic rhinitis making me more susceptible? Is there anything specific I should pay attention to?
A: It is advisable to conduct regular self-examinations (once a month).
If you notice multiple swollen nodes, keeping a record may help, as it can make them appear larger or change in color or hardness, and if you experience any pain, you should consult a physician.
3.
I am very worried that this might indicate something serious or that pressing on them could worsen the situation.

A: Please refer to the advice given in point 2.
Wishing you good health.

Taoyuan Hospital, Dr.
Chen.
Thank you for your inquiry.

Reply Date: 2022/08/30

More Info

Hello, thank you for your questions regarding lymph node issues following your COVID-19 infection. It's understandable to have concerns, especially given your family history and the current health climate. Let's address your questions one by one.

1. Monitoring the Enlarged Lymph Node: You mentioned that a doctor observed an enlarged lymph node in your left axilla (armpit) during an ultrasound and suggested monitoring it for six months. Since you have not received a COVID-19 vaccine, the enlargement may not be vaccine-related. Generally, if a lymph node is stable in size and there are no accompanying alarming symptoms (such as significant weight loss, night sweats, or persistent fever), it is reasonable to follow the doctor's advice and wait for the scheduled follow-up. However, if you notice any changes in size, consistency, or if you develop new symptoms, it would be prudent to seek an earlier evaluation.

2. Frequent Lymph Node Enlargement: You are experiencing recurrent lymph node enlargement in areas such as behind the ears and in the neck. This can indeed be associated with various conditions, including infections, allergies, or inflammatory responses. Given your history of atopic dermatitis and allergic rhinitis, it is possible that these conditions could contribute to lymphadenopathy (swollen lymph nodes). Allergic reactions can lead to localized inflammation, which may cause lymph nodes to swell as they respond to the immune challenge. If your symptoms persist or worsen, or if you experience additional symptoms like persistent fever or unexplained weight loss, it would be wise to consult your healthcare provider for further evaluation.

3. Newly Discovered Lymph Node Above the Clavicle: Finding a lymph node above the clavicle can be concerning, as this area is often scrutinized for potential malignancies. However, the fact that your doctor assessed it as likely inflammatory is reassuring. It is essential to avoid excessive manipulation of the lymph node, as repeated pressure can lead to further irritation or swelling. While it is true that persistent swelling in lymph nodes can sometimes indicate malignancy, many benign conditions can also cause lymphadenopathy. If the lymph node remains stable and you do not develop concerning symptoms, you may not need immediate follow-up. However, if it grows, becomes painful, or if you develop systemic symptoms, you should seek medical attention promptly.

In summary, while your concerns are valid, many factors can contribute to lymph node enlargement, and not all are indicative of serious conditions. Regular monitoring, maintaining open communication with your healthcare provider, and being attentive to any new symptoms are key strategies. If you feel uncertain or anxious about your health, do not hesitate to reach out to your doctor for reassurance or further testing. Your health and peace of mind are paramount. Thank you for your questions, and I hope this information helps clarify your concerns.

Similar Q&A

Navigating Conflicting Medical Opinions: Lymphadenopathy vs. Cellulitis

Hello Doctor, my ex-husband was diagnosed with COVID-19 on June 26. During this time, several areas became swollen and formed hard lumps. The swollen areas initially included the joint between the thumb and palm, the neck under the ear, and on July 6, he developed swelling in the...

Dr. Hong Yuanbin reply Internal Medicine
Hello, based on your description, the main issue is the enlargement of the lymph nodes. One aspect that needs clarification is whether this lymphadenopathy occurred suddenly after a COVID-19 infection or if it has been present for some time. If it occurred suddenly, theoretically...

Understanding Lymph Node Issues: Insights on Biopsy Results and Cancer Concerns

Hello doctor, I would like to ask about the lymph nodes in my left occipital and left cervical regions. The lymph node in the left occipital area is approximately 1 cm and was discovered in September 2020. Ultrasounds conducted in September 2020 and January 2021 indicated that th...

Dr. Chen Sirong reply Oncology
1. The left occipital lymph nodes have not changed, so monitoring should suffice as long as they do not increase in size. 2. The left cervical lymph nodes have decreased in size, which likely indicates that it is not cancer. 3. If there is metastatic cancer or lymphoma, fine ...

Understanding Enlarged Axillary Lymph Nodes: Causes and Next Steps

I would like to consult with a physician. At the end of January, I had a health check-up that included a breast ultrasound, which showed a fibrocystic change in the breast that only requires monitoring. However, there was a slight thickening of the lymph nodes on both sides (the ...

Dr. Yuan Tianmin reply Breast and Thyroid
My recommendation is to follow up with regular visits to the breast surgery outpatient clinic.

Understanding Lymph Node Issues After Oral Cancer Surgery

Hello, doctor. In March of this year, I underwent surgery for early-stage oral cancer on my right cheek. Post-surgery, there were no significant issues. However, in August, I started experiencing unexplained night sweats and fever. In September, my right thigh began to swell, and...

Dr. Fan Sheng reply Oncology
A-Bao: Is a CT scan out-of-pocket? I suggest consulting the National Health Insurance Administration. For lymphatic issues, I recommend directly excising one for testing. Thank you!