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Swollen lymph nodes. Antibiotics ineffective. Done biopsy. Risk for cancer?

my daughter had a biopsy Friday on a lymph node under her right arm pit. We have been battling swollen lymph nodes since October. Antibiotics are not effective. My question is, the dr said 4-5 of her lymph nodes were clustered together. What exactly does this mean? Does this present a risk for cancer? Cancer runs ramped on both sides of the families.
Asked On : Thu, 18 Apr 2013
Answers:  3 Views:  110
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General Surgeon 's  Response
Lymphnodes are normally present in the neck,under armpit,groin etc.
They are enlarged in many diseases like Tuberculosis,Cancer spreading to the lymphnodes,Lymphoma's,infections etc.
It is routine to remove one lymphnode and send for histopathological examination.
Let the biopsy report come.
Lymphnodes will be attached to one another even in infections ,tuberculosis etc.It doesn't mean cancer.
Nothing to worry.
Hope it is a simple infection
If you come back with biopsy report,i will clarify further
Answered: Thu, 18 Apr 2013
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Oncologist, Radiation Dr. Subhas Pandit's  Response
Please mention age of your daughter. Swollen lymph nodes are most commonly due to infection. If it is not responding to antibiotic it can be due to infection by uncommon organism.If you live in developing country tuberculosis can be a cause.
Cancer,as you mentioned, is also a cause of enlarged nodes.However cancer is less common.Breast cancer can cause lymph node in arm pit. If your daughter is young ,chances of cancer is very low. Lymphoma is another cancer which commonly cause swelling in armpit.
Rather than getting worried it is better to get aspiration biopsy of node and to be sure about the cause.

Answered: Fri, 19 Apr 2013
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General Surgeon Dr. Ivan R. Rommstein's  Response
Apr 2013
Hi and welcome to HCM.
This is in most cases reactive lymph nodes swelling due to infection or inflammation. Cancer is rare but it must always be ruled out by biopsy or needle aspiration. Many people have also congenital elarged lymph nodes or there can be lymphatic duct obstruction. There are many possible causes but cancer isnt first to think of.
WIsh you good health.
Answered: Thu, 18 Apr 2013
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