Doctor insights on:
Cancer Spread To Lymph Nodes In Neck
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Could cancer metastase to distant regional lymph nodes before it metastase to the nearby lymph nodes?
No: tumors metastasize to regional nodes before distant nodes, but what goes to nodal disease only stays nodal. When breast spreads to nodes, one pos. axillary node is said to have better prognosis that 10 nodes. This is not due to # nodes but more nodes means primary has been spreading over a longer period of time. If axilla speads it is only to supraclavicular nodes and no other site. ...Read more
Local and distant: The most common spread is to local nodes around the esophagus. But the spread, or metastasis can be more distant such as to nodes around the celiac plexus, the region where the blood supply to the stomach arises below the diaphragm. But distant metastasis can be to nodes in the neck, particularly associated with the lymphatic chain that drains into the subclavian vein on left behind clavicle ...Read moreSee 1 more doctor answer
Must be evaluated: There is no way for you personally to know the cause of swollen lymph nodes in your neck. You should visit your doctor the great majority of the time, they are coming from an infection in your throat, mouth, face, or even infection in the nodes themselves. Cancer can be a cause but is less liely. Go and find out for sure. ...Read more
Very unlikely: Colon cancer that does not involve lymph nodes should not have neck lymph node involvement. If you recently had surgery you probably had a central catheter placed in your neck for IV administration. This may be the lump you are feeling. Make sure you talk to your doctor at the next visit to have a look. You could also have swelling from the endotrachral tube. ...Read moreSee 1 more doctor answer
Can oral or oropharyngeal cancer spread to supraclavicular nodes without spreading to other cervical nodes first?
Unusual but possible: As we are taught in fellowship, "tumors don't read text books." supraclavicular nodal metastasis is a distant site, technically stage iv. Usually the pattern is regional spread followed by more distant spread, but sometimes there are "skip" situations. Best of luck. ...Read moreSee 1 more doctor answer
Absolutely!: Lymph node (ln) involvement implies the presence of cancer cells "elsewhere" in the body. Therefore, the chance for cure is dependent on one's ability to kill these cancer cells thru a combination of chemotherapy & one's immune system. Fortunately, we have many effective drugs to rx breast ca, leading to improved cure rates as compared to even a decade ago. Ln involvement is not a death sentence. ...Read more
Yes: App. 1 in 3 women diagnosed with breast cancer will have evidence of cancer spread to the lymph nodes in the armpit on the affected side. This indicates the high probability of cancer cells "elsewhere" in the body but does not mean that the cancer is incurable. This usually warrants the recommendation for chemotherapy to kill these "elsewheres"; thankfully, this is often successful. ...Read more
Yes: Hsv1, the virus that causes cold sores, can definitely make these lymph nodes enlarged. If you have an active sore on your mouth, and your neck and collarbone lymph nodes are enlarged and sore, they should improve as the sore improves. If you don't have a sore, they don't improve, or you have painless, enlarged lymph nodes, you should be examined by a doctor. Don't wait too long! ...Read moreSee 1 more doctor answer
May need biopsy.....: If the lymph nodes are persistent after seeing your doctor and being evaluated for a possible infection and perhaps being treated with a course of antibiotics, a consultation with a breast cancer surgeon may be needed. Also, a proper breast exam with your doctor, mammogram and ultrasound should be performed if not already. ...Read moreSee 3 more doctor answers
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