They are hard or unmovable – Unfortunately, apart from being painless and abnormally large, swollen lymph nodes in leukaemia or lymphoma tend to feel quite similar to infected lymph nodes. However, occasionally they can feel very hard and cannot be moved when pushed.
Lymph nodes that are smooth and relatively soft, but slightly enlarged, may be normal and reveal only hyperplasia when biopsied. Enlarged lymph nodes that have an irregular shape and a rubbery, hard consistency may be infiltrated by malignant cells. Tender nodes are suggestive of an inflammatory process.
It is impossible to tell if a lymph node is cancerous by simply feeling it. Any persistent, concerning lumps should be examined by a medical professional.
Although lymphoma lumps often appear in clusters, it is possible to have a single lump. The lumps may be confined to one area of the body, such as the neck, or develop in multiple areas, such as the neck, armpits and groin. Lymphoma lumps have a rubbery feel and are usually painless.
Often, enlarged lymph nodes near a cancer are assumed to contain cancer. The only way to know whether there is cancer in a lymph node is to do a biopsy. Doctors may remove lymph nodes or take samples of one or more nodes using needles.
Computed tomography (CT) scan
This scan can help tell if any lymph nodes or organs in your body are enlarged. CT scans are useful for looking for lymphoma in the abdomen, pelvis, chest, head, and neck. CT-guided needle biopsy: A CT can also be used to guide a biopsy needle into a suspicious area.
Lymph nodes measuring more than 1 cm in the short axis diameter are considered malignant.
With your fingertips, in a gentle circular motion feel the lymph nodes shown. Always check your nodes in this order. Check both sides for comparison. If you have an enlarged lymph node it may feel like a swelling the size of a pea, sometimes they can be larger.
People can check whether their lymph nodes are swollen by gently pressing around the area, such as the side of the neck. Swollen lymph nodes will feel like soft, round bumps, and they may be the size of a pea or a grape. They might be tender to the touch, which indicates inflammation.
Lymph nodes commonly swell if we have an infection but they usually go back to normal over a short time. With lymphoma, the lymph nodes often grow slowly and may be there for months or years before they're noticed. But sometimes they grow very quickly. Usually, the swollen nodes don't hurt.
These are usually not painful. Although enlarged lymph nodes are a common symptom of lymphoma, they are much more often caused by infections.
Healthy lymph nodes are more rubbery than the surrounding tissue but are not solid like stone. Any lumps on the neck, groin or armpits that are hard, very enlarged, and do not move when pushed may indicate lymphoma or another type of cancer and should be investigated by your GP.
Most cases of lymphadenopathy aren't caused by cancer. Malignancies are reported in as few as 1.1 percent of primary-care patients with swollen lymph nodes, according to a review in American Family Physician.
When they are rock hard and persist they can be worrisome for metastatic cancer. When there are multiple nodes palpable in multiple areas, then one must be concerned about lymphomas and leukemias. The medical approach to enlarged lymph nodes varies depending on the age of the person and other health conditions.
Speak to your GP if you have swollen glands and:
they feel hard or don't move when you press them. you also have a sore throat and find it difficult to swallow or breathe. you also have unexplained weight loss, night sweats or a persistent high temperature (fever) you don't have an obvious infection and don't feel ...
A lymphoma lump will tend to be painless and feel rubbery when touched. Swollen lymph nodes caused by other conditions like the flu can make your lymph nodes swell and feel tender when touched. A lymphoma lump also tends to be movable under the skin versus hard and unmovable.
If you can't come up with an explanation, it may be time to get checked out. Lymph nodes that are around 1/2 inch or bigger aren't normal. They shouldn't feel hard or rubbery, and you should be able to move them.
Some swollen lymph nodes return to normal when the underlying condition, such as a minor infection, gets better. See your doctor if you're concerned or if your swollen lymph nodes: Have appeared for no apparent reason. Continue to enlarge or have been present for two to four weeks.
Usually lymph nodes are not enlarged and thus not able to be felt, but if you have previously had an infection (such as tonsillitis) you may have noticed and felt lymph node becoming enlarged, painful and tender. Lymph nodes can also become enlarged due to cancer cells lodging in them.
Do not squeeze, drain, or puncture a painful lump. Doing this can irritate or inflame the lump, push any existing infection deeper into the skin, or cause severe bleeding. Get extra rest.
You don't need to worry about your swollen lymph nodes most of the time. But you should talk to your health care provider if your swollen glands: Feel hard and don't move around easily when you press on them. Grow bigger than one centimeter (or the size of a large pea)
Healthcare providers usually only worry about swollen lymph nodes when they enlarge for no apparent reason. If you have a large, swollen area but you're not feeling sick and you didn't recently have a cold, flu or other infection, see your healthcare provider.
Poking and squeezing lymph nodes may keep them from shrinking back to normal size.