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19271712 tn?1479815144

Can this be cancerous or due to infections?

On 10th September 2016 My wife aged 48 was found with swollen lymph nodes under her jaw.  She underwent a dental implant procedure about 10 days before this.

The sonography report was as follows-

Date 10 September 2016

Lymph node level                   Right Lobe                  Left Lobe
Submental                                  ---                             0.8 x 0.7 cms
                                                                                   0.8 x 0.7 cms
                                                                                   1.1 x 0.6 cms

Submandibular                     1.2 x 0.6 cms                 1.8 x 0.6 cms

Upper Jugular                      1.7 x 0.7 cms                 2.6 x 0.7 cms

Post cervical                        1.9 x 0.3 cms                 2.2 x 0.4 cms
                                            1.5 x 0.4 cms                2.1 x 0.4 cms      
                                                                                 1.9 x 0.4 cms
                                                                                  1.5 x 0.5 cms
                                                                                  1.9 x 0.6 cms


On 27th September  after an antibiotic course of 10 days with Augmentin , we got a new sonography done and the lymph nodes had shrunk a little. Results as follows-

Date 27 September 2016
Lymph node level                   Right Lobe                  Left Lobe
Submental                                  ---                             0.8 x 0.5 cms
                                                                                   0.8 x 0.5 cms
                                                                                    

Submandibular                     0.9x 0.3 cms                 -

Upper Jugular                      0.9 x 05 cms                 2.6 x 0.6 cms

Post cervical                        1.5 x 0.4 cms                 1.6 x 0.3 cms
                                            0.9 x 0.3 cms                1.9 x 0.4 cms      
                                            2.0 x 0.5 cms                1.6 x 0.4 cms
                                                                              
Can this be lymphoma/cancer or mere infection? please guide as I'm losing sleep.
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