I also have had a problem with a swollen
glad on the right side of my neck that is
hard and very tender. I was put on keflex
(antibiotic) because the md thought it was
infected. I only noticed it when I started
taking accutane for my face about 2 months
ago, and it progressively got bigger and
more painful. Haven't gone in for a biopsy
yet, but most likely will because after a
week on the meds, the node is still large
and painful. Has anyone had a biopsy
before, what is it like? Painful?
Difficult procedure? Etc.? Thanks! "
The doctors here do not know what to think
or what it is. The sights/published
medical documents on cancer that I have
read said that the pain and swelling are
generally not symptoms of lymphoma etc.
The lump under my chin has now reached 3"
in length and is very painful to touch, or
when I move my neck or jaw. I am also
experiencing a lot of numbness and
tingling sensation when my lower jaw is
touched. The doctors said that they hope
that the accutane has just forced a lot of
infection to drain from my face and so the
gland in my chin has started acting like a
lymph node to drain all of that. The
numbness could then be attributed to the
large size of the lump and that it is now
pushing against some nerves,etc. They put
me on Cephalexin and told me to come back
in a 6 days. Should I request a bioposy or
see a specialist or something if the
swelling does not go down in a few days?
Im more than a little concerned.
Thanks!
Swollen lymph nodes (lymphadenopaty) can
be due to an inflammation (infection) or
tumor. An infection can be generalized
(mononucleosis, rubella, AIDS…) or
local. In cases of generalized infections,
the lymph nodes in multiple regions are
affected (generalized lymphadenopaty). In
cases of local infection, only the lymph
nodes that receive lymph from the infected
area become swollen (for instance, the
neck’s nodes during a throat infection).
Tumors in the lymph nodes can be either
metastatic (secondary) or primary
(lymphomas). Primary tumors (lymphomas)
affect multiple lymph nodes because the
disease is systemic. Metastases from other
tumors usually affect the nearest lymph
nodes that receive lymph from the region
where the tumor is located.
If the case of lymphadenopaty doesn’t
pass spontaneously, or after antibiotic
therapy, a fine needle punition should be
performed. Cells sucked from the lymph
node are examined by a cyto-pathologist
after the procedure. If necessary, the
whole lymph node can be surgically removed
and examined by a pathologist. You should
first consult an ENT-specialist, and
depending upon the pathologist’s results
you may need to consult an internist, too.
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