Lymph Node Issues: Concerns About Swelling and Cancer

Lymphatic issues

Hello doctor, I suspect I have lymphadenopathy and I'm worried it might be lymphoma, but I'm not sure if I'm overthinking it.
I have a few questions to ask:
1.
Is lymphadenopathy dangerous even if it hasn't been continuously enlarging? I have a lump under my jaw that is less than 1 cm, which has been confirmed by a doctor, but it has remained the same size for about six months.
2.
Could persistent pain in lymph nodes indicate cancer cells? Recently, I've been experiencing pain in my axillary lymph nodes, and I've read online that it could be lymphoma.
3.
Does lymph nodes being stuck together necessarily mean it's lymphoma? Because of the pain, I've been feeling and squeezing them, and I've noticed that some lymph nodes are adhered together.
I found online that this could also indicate lymphoma, which is even more frightening.
4.
Is it possible that the pain in my lymph nodes is self-induced? I've been very anxious, and I've been frequently touching them.

Li Tongxue, 10~19 year old female. Ask Date: 2023/07/17

Dr. Chen Sirong reply Oncology

Student Li / 13 years old / Male
Hello,
1.
Is it dangerous if lymph nodes are enlarged but do not continue to grow?
A: Many enlarged lymph nodes can remain for years without resolving.
If they do not increase in size, change color, become hard, or present new symptoms, then there is no cause for concern.
2.
Recently, I have been experiencing pain in my armpit lymph nodes.
Could this pain indicate cancer cells?
A: Inflammation typically presents with redness, swelling, heat, and pain.
Cancer usually does not cause pain unless it compresses a nerve or if the tumor is large.
Inflammation and tumors are different conditions, but they can occur simultaneously.
If there is pain, it indicates new symptoms, and it is advisable to consult a doctor.
3.
Because of the lymph node pain, I started to palpate and noticed that some lymph nodes feel stuck together.

A: You can feel that the lymph nodes are adhered together.
This is likely due to your young, healthy skin, but I still recommend having a physician confirm this for accuracy.
4.
Is it possible that the lymph node pain is self-induced?
A: Yes, it is possible.
Excessive palpation can lead to mild inflammation.
I suggest performing a self-examination once a month.
If there are no changes in size, color, hardness, or new symptoms, then there is no cause for concern.
Wishing you good health,
Chen Si-Rong, Taoyuan Hospital

Reply Date: 2023/07/17

More Info

When it comes to concerns about lymph node swelling and the potential for cancer, it's important to approach the situation with a clear understanding of the medical context and the nature of lymph nodes. Here’s a detailed response to your questions based on the information provided and general medical knowledge.

1. Lymph Node Swelling and Duration: The presence of a lymph node that is less than 1 cm in size and has not changed over a period of six months is generally not a cause for alarm. Lymph nodes can remain enlarged for various benign reasons, such as previous infections or inflammation. If a lymph node remains stable in size and does not exhibit any other concerning features (such as rapid growth, hardness, or associated systemic symptoms like fever or weight loss), it is often considered benign. However, continuous monitoring is advisable, and any changes should be reported to your healthcare provider.

2. Pain in Lymph Nodes: Pain in lymph nodes can occur for several reasons, including infections, inflammation, or even benign conditions. While persistent pain can be concerning, it does not automatically indicate the presence of cancer. In fact, lymph nodes that are painful are often reactive to infection or inflammation rather than malignant. If you are experiencing pain in your axillary lymph nodes, it could be due to a localized infection or irritation. It’s crucial to consult with a healthcare professional who can evaluate your symptoms in context.

3. Lymph Nodes Sticking Together: The phenomenon of lymph nodes feeling "stuck together" can be alarming, but it does not necessarily indicate cancer. Lymph nodes can become adherent due to inflammation or fibrosis from previous infections. The key factors to consider are the size, consistency, and mobility of the lymph nodes. If they are soft, mobile, and not significantly enlarged, they are less likely to be malignant. However, if you notice any changes in these characteristics, it is essential to seek medical advice.

4. Self-Examination and Anxiety: It is not uncommon for individuals to feel anxious about their health, especially when they are monitoring their bodies closely. Frequently palpating lymph nodes can lead to increased sensitivity and discomfort, which may be mistaken for pathological changes. Anxiety can exacerbate the perception of pain and discomfort. It is advisable to limit self-examination and focus on scheduled medical evaluations instead. If you are feeling overwhelmed by anxiety regarding your health, consider discussing these feelings with a mental health professional or your primary care physician.

In summary, while concerns about lymph node swelling and cancer are valid, it is essential to interpret these symptoms within a broader clinical context. Stable, small lymph nodes that do not change over time are often benign. Painful lymph nodes can be indicative of infection rather than malignancy. If you have any persistent concerns or if your symptoms change, it is crucial to follow up with your healthcare provider for further evaluation and reassurance. Regular check-ups and open communication with your doctor can help alleviate anxiety and ensure that any potential issues are addressed promptly.

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