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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Enlarged Apical Lymph Node With Family History Of Colon Cancer?

I am a 23 year old male and have what appears to be an enlarged Right apical lymph node. Rubbery, definitely movable (can move it from subclavicular to supraclavicular), non-tender, about 2cm in diameter. I have a family history of colon cancer and have read the colorectal cancers can metastasize to the apical lymph, although nothing that i read has been specific on left or right.
Fri, 14 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Yes, you ars right. Colorectal cancers can spread in cervical lymphnodes but not as a primary symptoms. It spreads some what late in the course of disease. First patient develops intestinal symptoms like pain, blood in stool etc and than patient can have distant metastases like in lymphnode.
So in my opinion you should not worry much about malignant lesion as you are not having abdominal symptoms.
But you should definitely get done biopsy of this lymphnode to reach the diagnosis. You may have infective lymphnode.
So get done biopsy and don't worry about malignancy.
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What Causes Enlarged Apical Lymph Node With Family History Of Colon Cancer?

Thanks for your question on HCM. Yes, you ars right. Colorectal cancers can spread in cervical lymphnodes but not as a primary symptoms. It spreads some what late in the course of disease. First patient develops intestinal symptoms like pain, blood in stool etc and than patient can have distant metastases like in lymphnode. So in my opinion you should not worry much about malignant lesion as you are not having abdominal symptoms. But you should definitely get done biopsy of this lymphnode to reach the diagnosis. You may have infective lymphnode. So get done biopsy and don t worry about malignancy.