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After having chronic sinus problems, Glenn Moog noticed a little bump on his neck. He thought his lymph nodes had become swollen. About five months after noticing it, he visited his doctor.
Patients normally present with painless, swollen lymph nodes, often in the neck, armpit, or groin. [1] Some have swollen lymph nodes inside their body, such as in the chest or abdomen, which can go undetected until they become very large and cause symptoms like cough or abdominal pain.
Treatment is recommended when patients become symptomatic or experience one of the following: Dangerous drops in their red blood cell or platelet count; A doubling of their white blood cells in 6 months or less; Significant splenomegaly; Severe swelling of the lymph nodes, and/or; Richter transformation [16]
However, inguinal lymph nodes of up to 15 mm and cervical lymph nodes of up to 20 mm are generally normal in children up to age 8–12. [ 38 ] Lymphadenopathy of more than 1.5–2 cm increases the risk of cancer or granulomatous disease as the cause rather than only inflammation or infection .
[3] [13] [14] Diagnosis, if enlarged lymph nodes are present, is usually by lymph node biopsy. [1] [2] Blood, urine, and bone marrow testing may also be useful in the diagnosis. [2] Medical imaging may then be done to determine if and where the cancer has spread. [1] [2] Lymphoma most often spreads to the lungs, liver, and brain. [1] [2]
On its way, the fluid passes through the lymph nodes, small nodular organs located throughout the body but concentrated in certain areas such as the armpits or groin. These lymph nodes are also known as glands or lymphoid tissue. If they detect something foreign passing through them, they enlarge. This is called lymphadenopathy or swollen glands.
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