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This question was answered on Sun 16, Mar 2008 09:59pm by Dr Fernando, MD

Please help me with an answer - Enlarged glands under left side of jaw and under ear


    
Asked by emmylou56 (Male ) on Sun 16, Mar 2008 08:59pm

For the last four months i have had enlarged glands i have two under the left side of my jaw and one on the right side the both glands under my ears are enlarged and one on the right side of my thoart abit further down from the one under my ear and i have also found a pea size lump in my collar bone no one seems to be able to tell me for sure what this is i'm really tired and i'm waiting to go for an ultrasound. Please can you help me i'm desperate for answers i'm a mother of five children and need to get better so i'm not so tired to deal with them thank you Emma.
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Answer by Dr Fernando, MD  on Sun 16, Mar 2008 09:59pm:

Hi, Before making a diagnosis of what those enlarged nodes may represent, can you describe those lymph nodes in greater detail? Are they tender to touch? How large are they? Are they firm, hard, or soft? Having persistently enlarged lymph nodes for the past few months usually means a lingering infection or inflammation in a nearby area. Enlarged nodes behind the ears, on the sides of the neck, and collarbone could mean infection/inflammation in the ear, throat, teeth (dental caries) and gums, lungs or breast. These organs need to be examined by your doctor for any signs of infection or inflammation. A complete blood count may need to be requested to help establish the presence of infection. An increase in the white cell count with an increased proportion of a type of white cell called “segmenters” usually signifies infection. But some types of infection may not cause an increase in white cell count. Examples include tuberculosis and some viral infections. The other possible cause of chronic lymph node enlargement is cancer. To confirm this diagnosis, a biopsy of your lymph nodes needs to be done. You may wish to discuss the option of doing a biopsy with your doctor. Since your condition has lingered for the past four months, a biopsy may help facilitate its diagnosis and treatment.

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Follow up:

Clarification by emmylou56 on Sun 16, Mar 2008 10:46pm: 
Sorry i sent it through as another question but then realised i suppose to do it this way the lymph nodes are
not sore to touch they are hard the one in my throat in about 2 and half cms big and about 2 cms in width i
have also have every blood test possible all came back normal and they even tested for glandular fever which
came back normal as well also could you tell me if an ultrasound can tell you if it is cancer.Thank you for
getting back to me so quickly sorry for sending it the wrong before

Comments:

Comment by Dr Fernando, MD on Mon 17, Mar 2008 07:06am: Hi, Any lymph node larger than 1 centimeter, particularly if it has persisted for several months, should be biopsied. The biopsy would serve not only to check for malignancy. Some of the lymph node samples can also be cultured for tuberculosis or any other chronic bacterial infection. Since blood tests have already been done, and these came back normal, the next logical step is to have the biopsy. What part of your body are they going to examine using ultrasound? Your head and neck area? If your doctor is using ultrasound to look for tumors, it might not be the best diagnostic modality to use. A CT scan is probably more sensitive in detecting masses (unless the ultrasound is being used to look for breast or thyroid tumors). Neither ultrasound nor CT scan can tell you if a mass is cancerous. Only a biopsy can do that. I hope the explanations help.
Comment by admin on Tue 06, May 2008 11:17pm: Visitors to this page have searched for the following: pea sized gland under collarbone / can you usually glands under jaw / enlarged glands on left side of neck / enlarged glands under chin / enlarged hard lymph node in neck / sore enlarged nodes behind left jaw / sore lymph node under left clavicle / sore lymph node, under ear / statics on lymph node biopsy under jaw / tender pea sized lump in neck near collar bone

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