Lymph Node Tumors: Symptoms, Types, and Specialist Guidance - Oncology

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Lymphoma


About two months ago, I discovered a hard lump about 3 centimeters in size under my right armpit.
When the lump first appeared, it occasionally caused pain when pressed, and it would also hurt when I touched it.
After a period of time (approximately two weeks), the lump disappeared, and the pain ceased.
Could this be a tumor? If so, what type of tumor might it be? Which specialist should I consult? Thank you!

Miss Wang, 30~39 year old female. Ask Date: 2004/12/13

Dr. Chen Sirong reply Oncology


Hello: 1.
It is a tumor.
2.
Lymphadenopathy.
3.
Surgical or general surgery.
Sincerely, Dr.
Chen Sih-Jung, Oncology.

Reply Date: 2004/12/13

More Info


When it comes to understanding lymph node tumors, it's essential to recognize that lymph nodes can swell for various reasons, including infections, benign conditions, and malignancies. The symptoms you described—finding a hard lump in your armpit that occasionally caused pain but later disappeared—can be indicative of several conditions, and it's crucial to approach this with a comprehensive understanding.


Symptoms and Types of Lymph Node Tumors
1. Swollen Lymph Nodes: Lymph nodes can become enlarged due to infections (like a cold or flu), inflammatory conditions, or cancer. The fact that your lump was painful at first and then resolved could suggest a reactive process, often seen with infections. However, persistent or recurrent swelling should always be evaluated.

2. Types of Tumors:
- Benign Tumors: These include conditions like lipomas (fatty tumors) or cysts, which are generally not harmful and may not require treatment unless symptomatic.

- Malignant Tumors: These can be primary lymphomas (cancers originating in the lymphatic system) or metastatic cancers (cancers that have spread from other parts of the body). Symptoms of malignancy may include persistent swelling, pain, weight loss, fever, or night sweats.


Diagnostic Approach
Given your symptoms, the following steps are advisable:
1. Consultation with a Specialist: You should see a healthcare provider specializing in internal medicine or oncology. A referral to a hematologist or an oncologist may be appropriate, especially if there is a concern for malignancy.

2. Imaging Studies: A doctor may recommend imaging studies, such as an ultrasound or CT scan, to assess the characteristics of the lymph node. These studies can help determine if the lymph node is solid, cystic, or if there are any other concerning features.

3. Biopsy: If the lymph node remains enlarged or if there are concerning features on imaging, a biopsy may be necessary. This procedure involves taking a sample of the lymph node tissue to examine it for cancer cells.


Monitoring and Follow-Up
If the lump has resolved and there are no other symptoms, your doctor may suggest a watchful waiting approach, with follow-up examinations to monitor for any changes. However, if you experience any new symptoms, such as persistent swelling, pain, or systemic symptoms like fever or weight loss, you should seek medical attention promptly.


Conclusion
In summary, while the transient nature of your lump may suggest a benign process, it is essential to have a thorough evaluation to rule out any serious conditions. Consulting with a specialist and possibly undergoing imaging and biopsy will provide clarity on the nature of the lump and guide appropriate management. Remember, early detection and intervention are key in managing any potential malignancies effectively.

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