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painful gland in groin
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Kennie103 posted:
I have a painful node/gland on the right side of my groin. It's tender to the touch. I also have a small bump on the right side of my vagina. the bump doesn't hurt. It's mainly the swollen gland/node in the groin area. Any idea what this could be?
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Jane Harrison Hohner, RN, RNP responded:
Dear Kennie: Given what you have shared, my best GUESS is that you do have a swollen right inguinal lymph node. The lymph nodes in the groin serve to fight infections in the pelvis and external genitals. Here is a direct quote of some causes of enlarged lymph nodes in the groin:

"Inguinal lymphadenopathy: this group of lymph nodes drains the lower abdomen, external genitalia (skin), anal canal, lower third of the vagina and lower extremities. Enlargement of inguinal lymph nodes up to 1 to 2 cm in size can be found in healthy adults. [2> In a diagnostic work-up, biopsy of inguinal lymph nodes has been shown to offer the lowest diagnostic yield. [16> Causes of inguinal lymphadenopathy include:

Cellulitis [skin infection--JHH>

Venereal disease

Hodgkin's lymphoma

Non-Hodgkin's lymphoma

Metastatic melanoma

Squamous cell carcinoma (metastatic from the penile or vulvar regions)
."

Kennie, this quote is from a group associated with the British Medical Journal (BMJ). While the following link is targeted at healthcare providers, this BMJ article is a very thorough discussion of swollen lymph nodes:

http://bestpractice.bmj.com/best-practice/monograph/838/diagnosis.htm l

As you can read in the article, most swollen lymph nodes in younger persons are NOT a sign of cancer. Given that your node is painful, I would urge you to see your MD or clinic so an exam can be done. They may want to do some basic blood work to rule out an infection as the cause.

Yours,
Jane


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