If a child has 2 USG reports of swollen lymph nodes in the neck (level 2), 7 months apart and both the report says it has normal morphology (ie, oval shape, preserved fatty hilum etc), and the size is reduced only a little bit (15-25%). Then, is it enough to rule out possibility of lymphoma? Child is asymptomatic, CBC, CRP, LDH normal.
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Your current situation is not heading to lymphoma.
But you can not ignore it , as lymphadenopathy is a feature of local infection/ inflammation.
So better do a physical consultation.
Hope it will help.
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Yes, for the above details mentioned, there is no reason to suspect Lymphoma. Level 2 are most commonly enlarged group, in most children and adults. Even size cut off to call it increased size is 1.5cm for level 2, while for other levels in neck is 1cm.
Unless there is a generalised lymphadenopathy or systemic symptoms, no reason why one should suspect lymphoma here.
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