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This question was answered on Sun 09, Mar 2008 06:48pm by Dr Fernando, MD

Enlarged lymph nodes - sign of secondary lymph node cancer?


    
Asked by jinny (Male ) on Sun 09, Mar 2008 02:30pm

Diagnosed with breast cancer in 2000 and DCIS in other breast 2001. Mastectomy, chemotherapy, radiotherapy. 4 weeks ago I had virus - sore throat etc. I noticed two small painless lumps on either side of neck- not the glands behind my ears that normally swell up with infection. Think they went away - well I didn't notice them for awhile. Last week I had another virus - really bad headache, nausea, diarrhoea, sore throat and flu-like fatique. Enlarged glands are back (or maybe they never went away). I am of course concerned that it's a sign of secondary lymph node cancer. I have an oncology appointment in April. Is it possible to have painless enlarged glands as a result of the throat infection? Thank you
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Answer by Dr Fernando, MD  on Sun 09, Mar 2008 06:48pm:

Hi. It is quite possible to have chronically enlarged lymph nodes in the sides of the neck because of any lingering or recurrent infection around the area. It could be a throat infection, but a recurrent ear infection or even dental caries can cause this. Since you have a previous history of breast cancer, any persistently enlarged node, particularly if the node is more than one centimeter in size and firm to hard in consistency, should make us suspect a possible malignancy. If your lymph nodes have the above characteristics, then it might be prudent to have them biopsied sooner.

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