Q. Why a swollen lymph node that I have had for two years, has shrunk on taking Prednisone?
Hello doctor,
Two years ago, I discovered a small lump in my neck near the back right side. My GP said it did not seem like anything to worry about and to come back if it grows. I noticed no growth, but it did not go away or shrink either. A year and a half later, I developed a rash and stomach bloating and cramping, so I went to another doctor and said I was concerned the lump is lymphoma and causing the other symptoms. The doctor ordered an ultrasound. The node measured 1 x 0.9 x 0.4 cm. The results said it has the appearance of a lymph node. The doctor said I could have an ENT look at it if I like, but that he thinks it is nothing to worry about. The rash and stomach pains cleared up soon after, so I did not pursue it further.
Now, last month I started to have chest tightness where my air passage felt like it was being restricted. I went to an urgent care and was put on Prednisone for ten days. The chest tightness has cleared up, but there is still a little irritation in my right lung area like I can feel something in my chest. The strangest thing is that after two days on Prednisone, I could no longer feel the lump in my neck. In two years, it had not changed, and after two days of Prednisone, I could not feel it. However, within 3 to 4 days after stopping the Prednisone, I could start to feel it coming back. It is now about two weeks since I have stopped the Prednisone and I can easily feel the lump now. It does not feel as large as before yet and would be hard for someone else to feel, but it has returned after stopping the Prednisone.I did some reading about how Prednisone can mask lymphoma symptoms, such as temporarily shrinking the nodes. Are there any other explanations for why a swollen lymph node that I have had for two years, would shrink while on Prednisone and then start to regrow after stopping it?
Hello,
Welcome to icliniq.com.
- The lymph nodes in the neck, if multiple and greater than 1.5 cm should be biopsied. Especially, if it is persistent for a long time.
- Most of the symptoms you have had are unrelated to lymphoma, but in a persistent lymph node, lymphoma should be ruled out.
- This is especially true if you do not have any other site of infection or injury in your scalp, mouth, teeth, gums, ear, nose, or throat to explain it.
- Regarding shrinking of nodes, whether lymphoma or otherwise, most lymph node will shrink because of Prednisolone. This is because it suppresses body's immune cell multiplication (which occurs in both lymphoma and infections).
- So, better get yourself evaluated by a local medical oncologist. It mostly will turn out to be nothing significant, but still, rule it out.
For further queries consult a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist
Was this answer helpful?
|This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.
Ask a Query
Consult by Phone
Video Chat 
Comprehensive Medical Second Opinion.Submit your Case
Related Questions & Answers
What is the best treatment for Burkitt's lymphoma?
Query: Hi doctor, My 60 year old uncle is diagnosed with Burkitt's lymphoma. His report says MYC-IGH fusion signal was detected in 45 % of the cells. The sample is positive for t(8;14). Could you please suggest whether it is curable and if it is curable then what is the best treatment? Read Full »
How common is it for a surgeon to remove salivary gland instead of a lymph node?
Query: Hi doctor, I had a biopsy done, and the surgeon was supposed to remove a lymph node to check for lymphoma. But, the surgeon removed my salivary gland by mistake. The surgeon sent off the salivary gland without knowing that he removed the wrong part and they ran a couple of tests. But, the report sta... Read Full »
Popular
Ask your health query to a doctor online?
Ask a Surgical Oncologist Now* guaranteed answer within 4 hours.
