Is It a Tumor or Lymph Node Inflammation? Your Symptoms - Oncology

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Is it a tumor or lymphadenitis?


Hello, doctor: Today I suddenly noticed a round lump in the indentation where my left neck connects to my jaw.
It usually doesn't hurt, but it does hurt when pressed, and it only becomes noticeable when I lower my head.
It is about the width of two fingers and is movable.
I'm wondering if this is related to my recent increase in stress and the sores in my mouth.
Should I seek medical attention?

Niming, 20~29 year old female. Ask Date: 2016/02/13

Dr. Chen Yunfang reply Oncology


Hello: You can visit the Otolaryngology clinic or the Hematology-Oncology clinic.
Please have the physician examine you to confirm whether it is an abnormal "lymphadenopathy" or a normally present "salivary gland." The two can be quite similar, but they can be differentiated through palpation.
Thank you!

Reply Date: 2016/02/13

More Info


When you discover a lump or swelling in your neck, especially in the area where the jaw meets the neck, it can understandably cause concern. Based on your description, it sounds like you may be dealing with a lymph node that has become enlarged, possibly due to inflammation or infection. Here’s a breakdown of what you might be experiencing and some guidance on what to do next.


Understanding Lymph Nodes and Their Function
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 help the body fight infections. When the body is fighting an infection, lymph nodes can become swollen and tender, which is often a sign that they are actively working to combat pathogens.


Possible Causes of Swelling
1. Infection: The most common cause of swollen lymph nodes in the neck is an infection. This could be due to a viral infection (like a cold or flu), bacterial infections (such as strep throat), or even dental issues (like an abscess). Given that you mentioned having a sore in your mouth, it's possible that an oral infection could be contributing to the swelling.

2. Inflammation: Conditions such as allergies or autoimmune diseases can also lead to lymph node enlargement. If you’ve been experiencing increased stress or "fire" as you mentioned, it could potentially exacerbate inflammatory responses in your body.

3. Tumors: While less common, swollen lymph nodes can sometimes indicate the presence of a tumor, either benign or malignant. However, this is usually accompanied by other symptoms, such as significant weight loss, fever, night sweats, or persistent fatigue.


Characteristics of the Lump
You described the lump as movable and only painful when pressed, which is generally a good sign. Lumps that are hard, fixed in place, and painful without pressure may raise more concern. The size you mentioned (about two fingers wide) is also significant; while larger lymph nodes can be concerning, the context of other symptoms is crucial.


When to Seek Medical Attention
Given your symptoms, it would be wise to consult a healthcare professional, especially if:
- The lump persists for more than two weeks.

- You experience additional symptoms such as fever, night sweats, or unexplained weight loss.

- The lump increases in size or becomes increasingly painful.

- You have difficulty swallowing or breathing.


Recommended Next Steps
1. Consult a Doctor: It would be advisable to see a healthcare provider, preferably an internist or an ENT specialist, who can perform a physical examination and may recommend imaging studies (like an ultrasound) or blood tests to determine the cause of the swelling.

2. Monitor Symptoms: Keep track of any changes in the lump or any new symptoms that may arise. This information can be helpful for your doctor.

3. Avoid Self-Diagnosis: While it’s natural to search for answers online, self-diagnosis can lead to unnecessary anxiety. Trust the expertise of healthcare professionals who can provide a thorough evaluation.


Conclusion
In summary, while swollen lymph nodes are often a benign response to infection or inflammation, it’s essential to monitor your symptoms and seek medical advice if you have concerns. Early evaluation can help rule out serious conditions and provide peace of mind. Remember, your health is paramount, and addressing these concerns with a professional is the best course of action.

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