Lymph Node Swelling: Should You Be Concerned?

Lymphoma?

Hello doctor, I discovered a lump near the lymph nodes behind my ear, close to the suboccipital lymph nodes.
The lump is not visible on the surface and is about 1 to 1.5 cm in size.
It hurts when pressed, and yesterday it was more painful with a feeling of immobility.
Recently, I have had mild folliculitis, but I have never had a lump with folliculitis before.
I'm really scared; could it be malignant?

zinni, 20~29 year old female. Ask Date: 2014/09/06

Dr. Chen Sirong reply Oncology

Based on the description you provided, it is not possible to determine whether the condition is benign or malignant.
It is advisable to visit an otolaryngologist for a proper examination.
Generally speaking, malignant lymph nodes tend to be 1.
immobile 2.
hard 3.
persistently enlarging 4.
may not necessarily be painful.
Thank you for your message, and I wish you good health.
Dr.
Chen, Taoyuan Hospital.

Reply Date: 2014/09/06

More Info

When it comes to lymph node swelling, it can understandably cause concern, especially when you notice a lump that is painful and immobile. Based on your description, you have found a lump near the lymph nodes behind your ear, measuring approximately 1 to 1.5 cm, which is tender to the touch. You also mentioned a recent history of mild folliculitis, which may or may not be related to the lymph node swelling.

Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the immune response. They can become swollen for various reasons, including infections, inflammation, or malignancies. In your case, the tenderness and recent folliculitis could suggest that the lymph node is reacting to an infection or inflammation in the surrounding area. This is often referred to as reactive lymphadenopathy, which is a common and usually benign response.

The fact that the lymph node is painful and has increased in size could indicate that your body is fighting off an infection. Folliculitis, an infection of the hair follicles, can lead to nearby lymph nodes swelling as they filter out pathogens and produce immune cells to combat the infection. However, it is essential to monitor the situation closely. If the swelling persists, increases in size, or if you develop additional symptoms such as fever, night sweats, unexplained weight loss, or persistent fatigue, it would be prudent to seek medical attention.

In terms of malignancy, while swollen lymph nodes can be a sign of cancer, especially if they are hard, fixed, and non-tender, the characteristics you describe (painful and mobile) are more suggestive of a benign process, particularly given your recent infection. However, it is crucial to remember that only a healthcare professional can provide a definitive diagnosis.
If you are feeling anxious about the lump, it is advisable to consult with a healthcare provider who can perform a physical examination and possibly recommend further investigations, such as imaging studies (like an ultrasound) or a biopsy if deemed necessary. These steps can help rule out any serious conditions and provide peace of mind.

In summary, while your symptoms may be related to a benign cause such as a reaction to folliculitis, it is essential to keep an eye on the situation. If you notice any changes or additional symptoms, do not hesitate to seek medical advice. Early evaluation can help ensure that any potential issues are addressed promptly and appropriately.

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