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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 29250
Experience:  MD
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Why would someone have a enlarged lymth node on there

Customer Question

why would someone have a enlarged lymth node on there pancreus ? i have a 5mm enlarged node and there not sure why?
Submitted: 6 years ago.
Category: Health
Expert:  Dr Basu replied 6 years ago.


thanks for your question.

enlarged lymph node in pancreas can be caused by non specific inflammation, viral infection or from chronic pancreatitis in response to bile irritation.

rarely, this can be an initial finding for pancreatic cancer.

but, you should have other symptoms as well like weight loss, appetite loss, stomach pain etc.

5 mm lymph node is not that big to worry about.

it can be monitored periodically every 6 months.

Customer: replied 6 years ago.
i had gallblader removal three years ago also dx with autoimmune heapatis although myliver function tests are normal now; i did have a bile leak following the surgey, i had sarcodosis in the gallblader lymth node which is removed, i am also showing some granulama in the area of the gallblader still , i have been in pain for three years but still no answers? can you advise me please................
Expert:  Dr Basu replied 6 years ago.

this is likely related to the underlying disease process --sarcoidosis.

bile leak as i suggested earlier can cause severe pain & inflammation in the surrounding area including the lymph nodes in the pancreas.

you will require another exploratory laparotomy to remove the granulomatous tissues & scar tissues in the gall bladder bed. this is causing you the pain.

please consult with your GI surgeon.