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Son has prolonged swollen lymph node- Dr. Benaroch, please read.
ashleygentle posted:
I'm really hoping to get some insight, primarily from the board expert. One of my son's lymph nodes, under his jaw, has been swollen for over a year now. Constantly. His pediatrician did several mouth swabs, all the blood tests she could think of, and even an ultrasound. All of which came back with negative results. He is otherwise fine, and night sweats is the only other symptom I can think of that *may* be associated to the swelling. Any idea what could be causing it?

I'm getting increasingly frustrated, because the last time I spoke with his pedi was 3 weeks ago. The week before that she had sent his paperwork over to an infectious disease specialist. When I spoke to her 3 weeks ago, she said she was still waiting for them to make an appointment. I have called weekly, and even requested the specialists number, all to no eval.

TIA for any input.
Roy Benaroch, MD responded:
You didn't mention the size, but I'm assuming it's not very large, less than a whole walnut. And I'm assuming it's not getting bigger.

In that case: since it's already had a big eval, it's not progressing, and it doesn't sound like it's causing any problems, I'd just leave it alone.

I suppose a biopsy could be done, or surgical removal, but if it's been there over a year and hasn't caused any problems, I probably wouldn't suggest doing that.

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