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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 10337
Experience:  14 years as clinician in the field of Family Practice
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My daughter had an ultrasound done today For a palpable

Customer Question

My daughter had an ultrasound done today For a palpable abnormality . The conclusion was a non specific ymph node measuring 12*5*10mm borderline requiring a CT scan or MRI for further clinical testing .
What are they looking for and what does non specific / borderline mean ? She's 10 years old .
Submitted: 1 month ago.
Category: Health
Customer: replied 1 month ago.
It is on her jaw line
Expert:  Anthony Bray, MD replied 1 month ago.

Hello ,

Where is the palpable abnormality ?

Oh ok ...

The jaw line to neck is common ...

Expert:  Anthony Bray, MD replied 1 month ago.

Lymph node that is too large over time potential concern of lymphoma BUT age 10 -- jawline and anterior neck VERY VERY VERY COMMON to see reactive lymph nodes

Customer: replied 1 month ago.
She has had no fever , no signs of being ill . It has been there for three weeks . What are they looking for and what does non specific borderline mean ?
Expert:  Anthony Bray, MD replied 1 month ago.

Reactive lymph nodes are nodes that respond to local infection and upper respiratory infections are the most common ...

She may have had a case of mono which is very likely to enlarge lymph nodes ....

Customer: replied 1 month ago.
Mono but she never showed any signs of being sick . It's on her jawline . No fever , no upset stomach , No strep , No rash ?
3 weeks and hasn't gone away strange , especially that it's causing her pain .
Expert:  Anthony Bray, MD replied 1 month ago.

Only 3 weeks it sounds to me that CT scan this soon is to me a bit overkill....

They may do test to rule out underlying infection / abscess / lymphoma ..

But if she is not so troubled with fever / neck pain / sore throat then I would not be overly concerned because of her age ...

Expert:  Anthony Bray, MD replied 1 month ago.

No if mono then that is classic to cause enlarged lymph nodes ..

It will take good 2 months for then to settle down to near normal side at best ....

Customer: replied 1 month ago.
There is a ball on her jaw , feels hard and tender to touch . Yes I am overly concerned . Especially , because I am a breast cancer survivor . Was diagnosed in 2013 with triple negative . I am very concerned
Expert:  Anthony Bray, MD replied 1 month ago.

Mono clasically may lead to enlarged lymph nodes / tonsils / and may lead to enlarged spleen

Customer: replied 1 month ago.
How do you diagnose mono ?
Bloodwork ?
Expert:  Anthony Bray, MD replied 1 month ago.

Yes --- mono diagnosed by EBV titers ( EPSTEIN BARR VIRUS = MONO )

Customer: replied 1 month ago.
Could it be cancerous ?
Expert:  Anthony Bray, MD replied 1 month ago.

I understand that your history would cause you to worry but it does not at all seem likely that at her age this finding would be related to any cancer ...

Try not to worry ..

I'm sure that she will be fine !!

Expert:  Anthony Bray, MD replied 1 month ago.

Tender lump at edge under jaw ( mandible) can also be possibly due to saliva gland ...submandibular saliva gland ...

Expert:  Anthony Bray, MD replied 1 month ago.

Blocked saliva gland may swell hurt with her eating sour candy for example ...

Expert:  Anthony Bray, MD replied 1 month ago.

The reactive lymph node is most common probability --- lymph node responds to infections ...the young child very commonly have these ...

Customer: replied 1 month ago.
I thought it was a salivary gland as well .
Expert:  Anthony Bray, MD replied 1 month ago.

That is possible with that location.....sure to that ....

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