Lymphadenopathy

I have been diagonsed with bilateral axillary lymphadenophathy.  Originally, I went to the doctor because I could tell my lymph nodes were swollen under my arms.  She gave my some antibiotics, took my blood, and scheduled me for a CT exam.  I took the antibiotics and they appeared to help a lot.  However, my lymph nodes did not go down all the way and are still large.  Prior to going to the doctor, I could feel activity in my lymphnodes.  After taking the antibiotics, all of that activity has been reduced significantly.  However, my doctor has recommended that I go to a breast cancer doctor to have a biopsy.  What are your thoughts?

[Kevin Pho, MD]

Enlarged lymph nodes that persist are suspicious for cancer.  The CT scan is a reasonable initial approach.

In women, axillary lymphadenopathy can be suggestive of breast cancer.  Biopsy of the lymph nodes can be considered to ensure they are not malignant.

I would also obtain an ultrasound and/or mammogram of the breasts to ensure there is no evidence of breast cancer.  

I would agree with your physician's suggestions at this point.  I would probably add some kind of imaging of the breasts as well.

This option can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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