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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Lymph Node In The Groin

Lymph node in my groin swells to the size of a pecan. Stays that way for a week or so then recedes to normal size. Had an ultrasound b/c my Dr was shocked at how bug it was. By the time I went in it had receded to normal. She said it was weird but not to concern. She wants me to call and immediately get ultrasound next time. What will that accomplish? Why does this occur? I am 48 yr old in amazing health w ovaries no uterus. Should I get second opinion? Biopsy? Thank you, Jill
Thu, 28 May 2015
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Orthopaedic Surgeon 's  Response
Dear Patient,
Do not go for repeated ultrasound, but get the biopsy done at the earliest, as this will help you ascertain the cellular level evidence of what is going on in these lymph nodes, usually repeated swelling and than receding by self is not a characteristic of lymph node swelling, rather it is a characteristic of vascular origin swelling mainly haemangiomas.
doing a biopsy is the most certain way to see what it is although its invasive, but ultrasound will not give any definitive evidence, or in case you are not wanting ultrasound than you can go for an MRI of that region to see the tissue details, but usually it fails to provide cellular details, that are must of definitive treatment.
Hope that helps
Thanks
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Suggest Treatment For Swollen Lymph Node In The Groin

Dear Patient, Do not go for repeated ultrasound, but get the biopsy done at the earliest, as this will help you ascertain the cellular level evidence of what is going on in these lymph nodes, usually repeated swelling and than receding by self is not a characteristic of lymph node swelling, rather it is a characteristic of vascular origin swelling mainly haemangiomas. doing a biopsy is the most certain way to see what it is although its invasive, but ultrasound will not give any definitive evidence, or in case you are not wanting ultrasound than you can go for an MRI of that region to see the tissue details, but usually it fails to provide cellular details, that are must of definitive treatment. Hope that helps Thanks