Lymph Nodes in Breast Ultrasound: What You Need to Know - Breast and Thyroid

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The presence of lymph nodes observed in a breast ultrasound indicates that the lymphatic system in that area is being evaluated. This could suggest a normal finding, as lymph nodes are part of the immune system, or it may warrant further investigation to rule out any potential issues, such as infection or malignancy?


Hello Doctor: During a recent breast ultrasound, the doctor mentioned that a lymph node was observed on the left side.
When I asked what this meant, the doctor replied that it was nothing to worry about and suggested a follow-up in six months.
I'm concerned if there is any danger.
Could you please help clarify this for me? Thank you!

Miss Lin, 40~49 year old female. Ask Date: 2015/12/02

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Miss Lin: Everyone has lymph nodes under their armpits, which vary in size.
If there are no malignant changes, regular monitoring is sufficient, but it is recommended to perform a self-examination every month.

Reply Date: 2015/12/02

More Info


When you undergo a breast ultrasound and the doctor mentions the presence of lymph nodes, it can understandably raise concerns. However, it’s important to clarify what this means in the context of breast health and lymphatic function.

Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which plays a crucial role in the body’s immune response. They filter lymph fluid and can trap pathogens, such as bacteria and viruses, as well as cancer cells. The presence of lymph nodes in the axillary (armpit) region is normal, as everyone has them. They vary in size and number among individuals, and their primary function is to help the body fight infections and diseases.

In your case, the doctor noted the presence of lymph nodes on the left side during your breast ultrasound. The key point here is that the doctor indicated there was no immediate cause for concern and recommended a follow-up in six months. This suggests that the lymph nodes observed do not exhibit characteristics typically associated with malignancy, such as significant enlargement, irregular shape, or abnormal blood flow.
It’s common for lymph nodes to become reactive due to various benign conditions, such as infections or inflammation. For instance, if you had a recent cold or infection, your lymph nodes might temporarily swell as they work to filter out the pathogens. In the absence of any concerning features, the recommendation for follow-up is a standard practice to monitor any changes over time.

The anxiety surrounding lymph nodes often stems from the association with cancer, particularly breast cancer. However, it’s essential to remember that not all lymph nodes that are detected in imaging studies are indicative of cancer. In fact, many individuals have benign lymph nodes that do not require any intervention.
If the lymph nodes were to show signs of abnormality, such as significant enlargement or changes in their structure, further evaluation might be warranted, which could include additional imaging studies or even a biopsy. However, since your doctor has advised a follow-up without immediate concern, it is likely that they are not perceiving any alarming signs at this time.

In summary, the presence of lymph nodes in your breast ultrasound is not inherently dangerous, especially when your doctor has indicated that there is no immediate concern. Regular monitoring, as suggested by your physician, is a prudent approach to ensure that any changes can be addressed promptly. If you have ongoing concerns or experience new symptoms, it’s always best to communicate these with your healthcare provider for personalized advice and reassurance. Remember, being proactive about your health is important, and maintaining open communication with your doctor can help alleviate anxiety and provide clarity regarding your health status.

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