I had a swollen lymph node back in March or so that I got when I had a severe sinus infection. The node was located about 1/2 inch below my right ear and was less than 2 cm in diameter. I went to the doctor, scared that I had lymphoma and was assured by her that the size was not a concern. Months went by and I had a complete physical back in June, which went well. I went to the Dr. the other day for a myriad of health concerns I was having, one of them being that the lymph node in my neck from March was still there, although it was not nearly as prominent as before. It is now less than 1 cm in diameter, so it has undoubtedly gotten smaller in size. I have also lost about 20 pounds within the last 3 months without changing much in my lifestyle other than the fact I rarely am hungry and don't eat much (stress?). My doctor called me the day after my appt. and said she didn't recall that lymph node being there at my physical in June and she wanted me to come back in 1 month to monitor the size and make sure there was no progression. This of course made my wheels start turning...I know for 100% fact that the lymph node is in fact the same one I had after my sinus infection, it just never went down completely. I know that it's the same one because I've been messing with it for the last 8 months or so. This is the email response my doctor sent me when I addressed my concerns about lymphoma, what does everyone think?
Hi Ashley,
Your white cell count is fine and the decreased level of lymphocyte on the white cell count differential is not significant, and has no bearing on the lymph node.
Since you are 100% sure that the lymph node has been there for 1 year, the fact that it has decreased in size and has remained the solitary lymph node there is a good sign that it is benign. I still recommend that you follow up with me in 4 weeks.
Take care.
To me this seems to mean that she is still concerned with the lymph node? Or, she just wants to be sure it's not growing in size? It hasn't grown at all over the months but now I am thinking that I have lymphoma and that explains my weight loss. I also think it has already metastasized to my brain which would explain my symptoms of severe depersonalization. How should I interpret this email response from my doctor? Does she seem overly concerned about it? I am lacking so much insight into my health right now....thanks.
Ash