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Opinion on diagnosed benign cervical node at 2.0cm?

29 year old here. In September 2016, I had some sort of throat/sinus infection and went to Dr. who noticed a swollen lymph node in neck. I was sent for an ultrasound in October 2016 which revealed some enlarged nodes with the largest being 1.6cm. All blood work was normal at the time. Normal chest X-ray. Sinus issues continued off and on. A followup ultrasound in February 2017 showed that some nodes had resolved while the largest was now 1.9cm. I was referred to as ENT who is the head of surgery in his department and deals with many cancer cases. He stated that the node did not raise any flags during palpated exam but suggested an FNA for reassurance. FNA in March 2017 returned benign results. Followup ultrasound in May 2017 shows a single stable cervical node at 1.9/2.0cm. My ENT states that given my blood work and FNA results, he considers this to be a benign reactive node and plans a followup in six months. I have no other symptoms except for some random tenderness in the area which seems to coincide with my allergies and sinus issues. Should I seek a second opinion or any additional test?
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1081992 tn?1389903637
COMMUNITY LEADER
--- The term my ENT used was that the node had "stable structure".

Great, that includes having the hilum. (Cancer effaces the normal structure.) Do you have the sono report? If not, you really should get it especially because you might want it years from now. Knowing both dimensions would be helpful, especially if it's very long and thin which is okay to have. Round is bad.



--- I also have inappropriate sinus tachycardia

Aha, do you work in the medical field?



--- and at times my parasympathetic nervous system is very over-reactive

I'm not sure what you mean there. Since parasympathetic is the relaxing side, as opposed to sympathetic which is the stimulatory side.



--- so I am hoping this is another over-reactive type thing.

Your reaction (on your other thread) to the FNA needle is illuminating. Possibly over reactive mast cells. Can you draw a line on your sternum with your fingernail? Do you flush easily?
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I mentioned working in the medical field because IST is known to mostly occur in young women who work in the medical field.
1081992 tn?1389903637
COMMUNITY LEADER
Hi, I'd only be alarmed if it started growing again or if others started popping up in other regions.

"...seems to coincide with my allergies and sinus issues"

I think you're correct in thinking that this is all based in your immune system, which is possibly over reactive.

Do you have an Fx of odd immune conditions?

You can look up 'granuloma' as the likely reason that the one node has not gone down.

It's unfortunate that your sono report apparently did not mention the presence or absence of the hilum in the big node. Or did it? The hilum being seen would be very reassuring of not-cancer.
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The term my ENT used was that the node had "stable structure". I also have inappropriate sinus tachycardia and at times my parasympathetic nervous system is very over-reactive, so I am hoping this is another over-reactive type thing.
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