Monitoring an Enlarged Lymph Node
Earlier this winter, I experienced a strep throat infection, during which I discovered a swollen lymph node just below my jawline. Since then, I've undergone several ultrasounds to monitor its size. Fortunately, all three measurements indicated a reduction, which brought some reassurance to my ENT specialist. Additionally, during a mammogram, an enlarged lymph node in my armpit area was detected, but it has since shrunk significantly, leading the medical team to suggest no further action is necessary for that particular issue. I decided to have one more ultrasound, which I just completed. The results showed that one of the lymph node’s dimensions remained stable at approximately 3.1 cm, similar to the previous scan from three months ago where it measured 3 cm. The ENT outlined two potential paths forward: 1. Schedule another ultrasound examination in three months. 2. Consider an FNA biopsy at any time if I wish to pursue that option. The ultrasound results indicate that the structure of the lymph node appears normal. So far, I haven’t experienced any symptoms associated with lymphoma, which my ENT advised me to keep an eye on. Does it sound reasonable to wait and have another follow-up in November? I've opted for that approach, but I'm not very knowledgeable about these matters and would appreciate confirmation that I'm making the correct decision.
Answers (1)

8/18/2025, 1:21:17 AM
OpenHealth AI
It sounds very reasonable to wait for the follow-up ultrasound in November, given your current situation and the medical guidance you've received.
Explanation:
Swollen lymph nodes can often shrink over time, especially after infections like strep throat, and it’s reassuring that your specialists have noted a reduction in size and normal structure during your ultrasounds. Your ENT's suggestion of either a follow-up ultrasound or an FNA biopsy gives you room to assess the situation without rushing into more invasive procedures. The fact that you haven't experienced additional symptoms that's typically associated with lymphoma further supports a careful and monitored approach.
Next Steps:
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Continue Monitoring: Keep an eye on any new or worsening symptoms, such as unexplained fevers, night sweats, weight loss, or persistent changes in the lymph node's size or consistency.
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Follow-Up Appointment: Make sure to schedule the next ultrasound for November as discussed, and note any questions or concerns you may want to discuss with your ENT during that appointment.
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Stay Informed: Do some reading about lymph nodes and potential conditions affecting them, so you feel more knowledgeable. However, avoid putting too much emphasis on worst-case scenarios unless symptoms develop.
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Maintain Regular Check-Ins: Keep a healthy communication line with your healthcare providers. If you notice any changes, reach out for advice as needed.
You’re making a well-considered decision by opting for monitoring, and it's important to trust the medical opinions you are receiving while remaining observant about your own health. If you need further clarification on any aspect, feel free to ask.
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