Concerns About Lymph Nodes in the Left Neck Area - Oncology

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Regarding the suspected lymph nodes in the left neck?


Dr.
Chen, I am the one who was previously very anxious about "cancer phobia." This time, I really felt a lump in the lower middle part of my left neck.
Here’s what happened: two days ago, while I was showering, I accidentally felt an unknown object below my left ear, close to the lower neck area.
After looking it up online, I think it might be a lymph node.
The more I read, the more worried I became because the internet says that lymph nodes above the left clavicle "must indicate metastatic gastric cancer." Although the location I felt is not exactly in the supraclavicular area, but a bit higher, approximately at the position of one to two fingers below the Adam's apple, about 0.5 to 1 cm in size.
It doesn't feel hard and seems to be movable.
I was worried for two nights and went to a major hospital in the eastern part of the country today, but the doctor said he couldn't feel the lymph node I mentioned and told me not to worry.
However, I definitely felt it, similar to the sensation of feeling a testicle, just a bit larger.
Should I be concerned? About four to five months ago, during an endoscopy, the doctor mentioned I had gastritis and a mild ulcer, so I am really worried that the lymph node in that area might indicate a worsening of my gastric condition.
How could the doctor not feel it? I am very anxious...
Please help me, doctor.

Ke Ke, 30~39 year old female. Ask Date: 2013/03/18

Dr. Chen Sirong reply Oncology


"Coco, who is suffering from cancer anxiety: 1.
The internet says that lymph nodes above the left clavicle 'must be a metastasis from stomach cancer,' but that is not necessarily true.
2.
If they feel soft and movable, they are more likely benign, so don't worry.
3.
That doctor said he couldn't feel the lymph node I mentioned; he is an honest physician.
4.
After you examine it yourself, ask the doctor to feel the same area with his fingers.
If that doctor cannot feel it in the same spot, it is likely a normal structure within your body.
5.
Given your personality, if the doctor cannot find it, you may not be convinced; consider seeing another doctor.
Wishing you happiness every day.
Best, Chen Si-Rong."

Reply Date: 2013/03/18

More Info


It's understandable to feel anxious about any new findings in your body, especially when it comes to lymph nodes, as they can sometimes indicate underlying health issues. Let's break down your concerns regarding the lymph node you found in your left neck area.


Understanding Lymph Nodes
Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in your immune response. They filter lymph fluid and trap pathogens, such as bacteria and viruses. Lymph nodes can become enlarged due to various reasons, including infections, inflammation, or malignancies.

Your Specific Concerns
1. Location and Size: You mentioned that you felt a lump near your neck, specifically below the earlobe and close to the lower neck, measuring about 0.5 to 1 cm. This size is relatively small, and many lymph nodes can be palpable in healthy individuals. The fact that it is movable and not hard is generally a reassuring sign, as malignant lymph nodes tend to be fixed and hard.

2. Medical Evaluation: You consulted a physician who did not find the lymph node you were concerned about. This can happen for several reasons, including the node being small or not easily palpable during the examination. It's also possible that the node was not enlarged enough to be detected. If your doctor has assessed you and advised you not to worry, it is likely based on their clinical judgment and experience.

3. Concerns About Cancer: The fear of cancer, especially when reading online, can lead to heightened anxiety. While it’s true that certain lymph nodes, particularly those near the collarbone (Virchow's node), can be associated with malignancies such as gastric cancer, this is not a definitive rule. The presence of a lymph node in the neck does not automatically indicate cancer, especially if there are no other concerning symptoms (like weight loss, persistent fever, or night sweats).

4. Follow-Up: If the lymph node remains unchanged in size or if you develop new symptoms, it would be prudent to follow up with your healthcare provider. They may recommend monitoring the node over time or performing imaging studies, such as an ultrasound, to assess it further.

5. Gastric Issues: You mentioned having a history of gastric inflammation and ulcers. While gastrointestinal issues can lead to reactive lymphadenopathy (enlargement of lymph nodes due to infection or inflammation), it does not necessarily mean that the lymph node you felt is related to your stomach condition.

Recommendations
- Self-Monitoring: Keep an eye on the lymph node. If it grows significantly, becomes painful, or if you experience other symptoms, seek medical advice.

- Avoid Online Anxiety: Try to limit your research on symptoms online, as it can lead to unnecessary worry. Instead, focus on discussing your concerns with your healthcare provider.

- Healthy Lifestyle: Consider adopting a healthy lifestyle, including a balanced diet, regular exercise, and stress management techniques, which can help improve your overall well-being and potentially reduce anxiety.


Conclusion
In summary, while it’s natural to be concerned about new findings in your body, the characteristics of the lymph node you described, along with the assessment from your physician, suggest that there is likely no immediate cause for alarm. Regular follow-ups and monitoring will help ensure that any changes are addressed promptly. Remember, your health is best managed through open communication with your healthcare provider, who can provide personalized advice based on your medical history and current findings.

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