Lymph nodes deep in the body cannot be felt or seen. So doctors may use scans or other imaging tests to look for enlarged nodes that are deep in the body. Often, enlarged lymph nodes near a cancer are assumed to contain cancer. The only way to know whether there is cancer in a lymph node is to do a biopsy.
A lymphoma lump will tend to be painless and feel rubbery when touched. Swollen lymph nodes caused by other conditions like the flu can make your lymph nodes swell and feel tender when touched. A lymphoma lump also tends to be movable under the skin versus hard and unmovable.
The most common symptom of cancer in the lymph nodes is that 1 or more lymph nodes become swollen or feel hard. But if there are only a small number of cancer cells in the lymph nodes, you may not notice any changes. If the swollen lymph nodes are deep inside the chest or tummy, the lymph nodes cannot be seen or felt.
If a Lump Under Your Arm is a Lymph Node
The difference between lymph nodes and lumps is that the lumps are typically movable, soft and feel sore and/or painful. You might even observe some skin reddening where the lumps originate. Swollen lymph nodes appear very fast, but breast cancer lumps grow a lot slower.
See your doctor if you're concerned or if your swollen lymph nodes: Have appeared for no apparent reason. Continue to enlarge or have been present for two to four weeks. Feel hard or rubbery, or don't move when you push on them.
The overall 5-year relative survival rate for people with NHL is 73%. But it's important to keep in mind that survival rates can vary widely for different types and stages of lymphoma.
Lymph nodes deep in the body cannot be felt or seen. So doctors may use scans or other imaging tests to look for enlarged nodes that are deep in the body. Often, enlarged lymph nodes near a cancer are assumed to contain cancer. The only way to know whether there is cancer in a lymph node is to do a biopsy.
With lymphoma, the lymph nodes often grow slowly and may be there for months or years before they're noticed. But sometimes they grow very quickly. Usually, the swollen nodes don't hurt. But some people say their lumps ache or are painful.
What does a swollen lymph node feel like? Swollen lymph nodes are often painless, moveable, and have a soft, “rubbery” feel to them, says Eric Jacobsen, MD, clinical director of the Adult Lymphoma Program at Dana-Farber.
Healthy lymph nodes are more rubbery than the surrounding tissue but are not solid like stone. Any lumps on the neck, groin or armpits that are hard, very enlarged, and do not move when pushed may indicate lymphoma or another type of cancer and should be investigated by your GP.
Low-Grade Lymphoma
These grow so slowly that patients can live for many years mostly without symptoms, although some may experience pain from an enlarged lymph gland. After five to 10 years, low-grade disorders begin to progress rapidly to become aggressive or high-grade and produce more severe symptoms.
Malignancies are reported in as few as 1.1 percent of primary-care patients with swollen lymph nodes, according to a review in American Family Physician.
Conditions that non-Hodgkin Lymphoma is commonly misdiagnosed as include: Influenza. Hodgkin's lymphoma. Cat scratch fever.
Diffuse large B cell lymphoma
This fast-growing lymphoma accounts for about one third of NHL cases. For this lymphoma, it is typical for lymph nodes to double in size every month, and patients often present within a few months of having noted an enlarged lymph node.
The best way to find lymphoma early is to pay attention to possible signs and symptoms. One of the most common symptoms is enlargement of one or more lymph nodes, causing a lump or bump under the skin which is usually not painful. This is most often on the side of the neck, in the armpit, or in the groin.
A cancerous lymph node is usually hard and immovable. Some other cancerous masses may be harder as well. However, the size and location of the mass, as well as how long it has been visible, are all more important than how much or how little it moves.
The overall 5-year survival rate for people with NHL in the United States is 73%. For stage I NHL, the 5-year survival rate is more than 84%. For stage II the 5-year survival rate is 77%, and for stage III it is more than 71%. For stage IV NHL, the 5-year survival rate is almost 64%.
Swollen lymph nodes are a sign that they're working hard. More immune cells may be going there, and more waste could be building up. Swelling usually signals an infection of some kind, but it could also be from a condition like rheumatoid arthritis or lupus, or rarely, cancer.
Lymph node removal is a surgical procedure to take out one or more of your lymph nodes. Your doctor may recommend you have this procedure if you've been diagnosed with cancer. It can help to check whether cancer has spread, or reduce the chance of it coming back.
Nodal size
Lymph nodes measuring more than 1 cm in the short axis diameter are considered malignant. However, the size threshold does vary with anatomic site and underlying tumour type; e.g. in rectal cancer, lymph nodes larger than 5 mm are regarded as pathological.
Reactive lymph nodes are not dangerous. Lymph nodes house B and T lymphocytes, which are essential types of white blood cells. These cells help the body fight off infections from bacteria and viruses. Lymph nodes also carry lymphatic fluid and connect via lymphatic vessels.
These are usually not painful. Although enlarged lymph nodes are a common symptom of lymphoma, they are much more often caused by infections. Lymph nodes that grow in reaction to infection are called reactive nodes or hyperplastic nodes and are often tender to the touch.
There are many different tests that can be run for someone who has a swollen lymph node, and certainly the history surrounding the swelling is important to understand. One of the most likely tests for your doctor to have ordered is a CBC, or complete blood count.
A chest X-ray or computerized tomography (CT) scan of the affected area may help determine potential sources of infection or find tumors. Lymph node biopsy. Your doctor may have you undergo a biopsy to secure the diagnosis.
CT scan: CT scans can detect enlarged nodes over the entire body. This imaging is also used in biopsies to guide tissue removal.