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Swelling behind ear and neck called isolated cervival lymphnodes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   I have a question about lumps at base of neck and behind ear.
Doctor :   Hi
User :   Hi
Doctor :   Proceed with your query.
User :   A few days ago I noticed a hard pea sized lump at the base skull I think. Seems like it's on the bone. between my ear and back of neck. and then another one about an inch behind left ear. ... also, i recently completed antibiotics for a bladder infection....the lumps are a little bit hard.
Doctor :   Ok
User :   could this be lymphoma
Doctor :   May I know your age?
User :   45
Doctor :   How big are these 2 lumps?
Doctor :   Do you find them as isolated lumps of clusters of lumps located on 2 different locations?
User :   the one on my neck is pea sized. the one behind the ear is a little larger
User :   they are isolated.
Doctor :   Do you have similar lumps any where else?
User :   haven't found any
Doctor :   Are you running fever/
User :   no
Doctor :   Do you have sorethroat, nasal congestion, earache?
User :   no
User :   had a bladder infection 2 weeks ago
Doctor :   Let me explain to you.
Doctor :   The lumps seems to be an isolated cervival lymphnodes.
Doctor :   Most commonly such enlargement occurs due to reactive changes following an infection.
Doctor :   I do not foresee this to be signs of lymphoma,
Doctor :   as you do not have multiple lymphnode enlargement from various other sites.
Doctor :   Hence I suggest you not to worry much.
Doctor :   Keep a watch on this swelling.
Doctor :   If you find them progressively increasing or you see multiple other lymphnodes getting enlarged, then you may need a biopsy/FNAC of the lymphnode which will clinch the diagnosis.
User :   if it's from infection, when should the swelling start going away? about how long?
Doctor :   A reactive lymphnode can remain unchanged for years and probably till your life time too.
Doctor :   So I cannot predict if you can have this swelling off.
Doctor :   But that is not a worrying concern.
Doctor :   You will need evaluation if recurrent lymphnodes are involved
Doctor :   and you develop symptoms such as loss of appetite, unexpected weight loss and recurrent fever.
Doctor :   Have you followed what I have suggested?
User :   yes. thank you. i feel relieved.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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