How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DR MED MD Your Own Question

DR MED MD
DR MED MD, Board Certified MD
Category: Health
Satisfied Customers: 2406
Experience:  MD
8742629
Type Your Health Question Here...
DR MED MD is online now
A new question is answered every 9 seconds

breast ultrasound today showed an axillary lymph node enlarged..skin

Resolved Question:

I had an elective breast reduction done six weeks ago and am feeling pretty good. A breast ultrasound today showed an axillary lymph node enlarged to 9 mm in an area where the surgical bra cut deeply into my skin. I also had axillary excision in this area as part of the breast reduction procedure.

The dr. said he was not concerned at this time about the enlarged node but that he wants to see me again in 3 mos for a followup.

My question is: Is it normal or common to have an enlarged node in an area of surgery six weeks after the procedure? Is there something my dr. is not telling me? What is the likelihood that this will resolve with time?
Submitted: 3 years ago.
Category: Health
Expert:  DR MED MD replied 3 years ago.
Was there any enlarged lymph nodes before surgery?

Have you done any imaging investigation for lymph node i.e sonogram or mammography?

Thanks
Customer: replied 3 years ago.
No. I had a mammogram and two manual breast exams prior to surgery and all were normal. I do self-exams monthly and never felt this prior to the surgery and the very tight bra band that cut through the middle of my armpit.
Expert:  DR MED MD replied 3 years ago.
Did ultrasound mentioned any details about enlarged node?
Thanks
Customer: replied 3 years ago.
The mammogram did not mention it, nothing was felt on manual exam prior to surgery.

The ultrasound I had done today showed it, though.

Prior to this, I had a breast ultrasound done in September 2010 and it was all normal.

Expert:  DR MED MD replied 3 years ago.
This node is probably benign lymph node.

Benign nodes on imaging i.e ultrasound have maintained central fatty hilum and oval shape and usually less that 1 cm.

Your doctor is right to follow it and examine you in three months to see changes in node.

Lymph node enlargement commonly result from infection / immune response, cancer and less commonly due to infiltration of macrophages.

Nodes are generally considered to be normal if they are up to 1 cm in diameter.

If there was any doubt your doctor would have sent you for an FNAC i.e fine needle aspiration of lymph node.

No need to worry about.

Thanks

Thanks
DR MED MD, Board Certified MD
Category: Health
Satisfied Customers: 2406
Experience: MD
DR MED MD and 7 other Health Specialists are ready to help you
Customer: replied 3 years ago.
thank you for your answers. So to clarify, could the surgical trauma in that area along with the temporary cut-off of circulation to those tissues cause the node to enlarge and still be that way 6 weeks later?

Expert:  DR MED MD replied 3 years ago.
yes that can be cause or other cause be infection.

Node can remain enlarged for longer duration.

Follow up is required to look how they behave in future.

Thanks
DR MED MD, Board Certified MD
Category: Health
Satisfied Customers: 2406
Experience: MD
DR MED MD and 7 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery