Concerns About Painful Axillary Lymph Node
I’m seeking guidance and perhaps a bit of reassurance regarding a troubling health issue. Here’s the situation: A 57-year-old woman began experiencing intermittent pain in one of her axillary lymph nodes about a month ago. Over time, the discomfort worsened and was accompanied by fatigue, dizziness, as well as minor variations in body temperature and blood pressure. Following this, she consulted a doctor who, upon conducting blood tests (including a CRP test, all of which returned normal results), found no alarming signs. However, a course of Ceporex (Cephalexin) at a dosage of 1 gram for ten days was prescribed. An ultrasound was performed, producing the following results: - Normal appearance of skin, areola, and subcutaneous layers. - Both breasts exhibit primarily fibroglandular tissue. - There are no solid or cystic formations. - No distortions in the architectural layout. - The ductal system is normal. - Absence of malignant calcifications in the breast on either side. - No indications of malignant lymphadenopathy in the axilla on either side. - Right axilla: Notable is one ovoid lymph node with central cystic breakdown, measuring 16 x 10 mm. **Assessment:** Indications of breast fibroadenosis, categorized as BIRADS 2, along with a right axillary lymph node showing inflammation as described. Following this, the doctor prescribed Tavacin 500 mg for a period of five days instead of continuing with Ceporex, and scheduled a follow-up ultrasound for a week later. The repeat ultrasound demonstrated: ✅ Normal skin and tissues. ✅ No solid or cystic masses. 🔄 A few reactive lymph nodes on the right side, with none being suspicious on either side. 🟡 One lymph node in the right axilla (the painful one) presented with the following characteristics: - Ovoid shape - Exhibits central cystic breakdown - Dimensions of 16.3 × 9.4 mm, quite similar to the previous measurement of 16 × 10 mm. **Conclusion:** Atypical lymph node maintaining a stationary progression. Due to the persistent pain and discomfort, we sought a second opinion. The dizziness has ceased, which is a relief. The second doctor advised us to cease all antibiotics and monitor the situation for two weeks before repeating the ultrasound. If the situation remains unchanged, a biopsy will then be considered. What could this condition potentially indicate? It’s worth noting that she was the caregiver for a patient with Klebsiella MDR a while back. Although there was contact with some of the patient's items at the onset of her symptoms, she consistently wore gloves and a mask during that period.
Answers (1)
8/8/2025, 12:02:49 AM
OpenHealth AI
Thank you for sharing this detailed account of your health concerns regarding the axillary lymph node and associated symptoms. It's understandable to feel anxious, especially given the need to monitor a potentially serious condition. Let’s break down the situation to provide clarity and next steps.
Summary of Concerns
- You’ve experienced intermittent pain in an axillary lymph node, fatigue, dizziness, and changes in body temperature and blood pressure.
- Ultrasound findings indicate a stationary lymph node with central cystic breakdown but without signs of malignancy.
- A second opinion suggested monitoring for now, with potential for a biopsy if there are no changes.
Explanation
The findings from your ultrasounds indicate that while the lymph node appears atypical due to cystic changes, it doesn't currently show signs of cancer or serious infection. The chronic pain you’re experiencing could stem from inflammation in the lymph node. The association with your previous caregiving role may raise concerns, but your protective measures (gloves and masks) reduce the risk of transmission of any infections.
Lymphedema or reactive lymph nodes can cause localized discomfort even when no serious underlying conditions exist. The fact that your dizziness has resolved and the lymph node is stable is reassuring.
Recommended Next Steps
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Continue Symptom Monitoring: Keep a journal of your symptoms, noting any changes in pain intensity, duration, and any new symptoms that arise over the next two weeks.
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Hydration and Nutrition: Maintain good hydration and a balanced diet to support your immune system and overall health.
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Pain Management: Consider over-the-counter pain relievers such as acetaminophen or ibuprofen, following package instructions. If you notice increasing discomfort, discuss this with your healthcare provider for potential alternatives.
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Follow-Up Ultrasound: Attend your scheduled follow-up ultrasound in two weeks. This will help determine if there are any changes in the lymph node that require further investigation.
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Discuss Anxiety and Reassurance: It may be helpful to discuss any fears or anxieties you've been feeling with a healthcare professional or support group. Emotional well-being is essential during this monitoring period.
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Prepare for Possible Biopsy Discussion: If the biopsy is recommended, ensure you discuss the benefits, risks, and what the outcomes may indicate.
Reassurance
It’s common to feel concerned in these situations, but currently, the medical evaluation shows no alarmingly unusual findings. The plan to monitor is prudent, and ongoing communication with your healthcare team will provide the best care moving forward. If symptoms escalate or new issues arise, reach out to your doctor for guidance sooner.
Take care, and don’t hesitate to reach out if you have more questions.
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