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Follow up US shows the 2.4 cm lymph node under jaw is still that size

So I have a couple nodes this size under jaw although it says multiple appear enlarged but again that’s nothing new. So I’m not terribly concerned as the size is exactly the same as a year and a half ago when first found; largest node is 2.4/1.4/0.8cm in dimensions under the jaw I also am fairly certain that was the one FNA’d

Also remember that little one that felt stuck together in my right neck? Turned out that’s not even a node. I guess it’s just calcified tissue? They said it was in a node or anything just calcifies tissue that they say we all have some places
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1081992 tn?1389903637
COMMUNITY LEADER
"Turned out that’s not even a node. I guess it’s just calcified tissue?"
Hard to believe from my end, especially since there have been three different opinions on that. Still, it is possibly true, and is likely inconsequential.
2 Comments
No it turns out this is not the large node. That was the jaw one that the ENT looked like two very close in proximity. This little calcification spot is the two bumps I felt that have been there for several years easily so I’m not worried about it. It was there way before the nodes and it does make sense as when id point out the spot some techs said they didn’t see anything (I’m assuming they looking for nodes) so I guess it does fit. The report came back normal though, is having a little calcifies spot in soft tissue worrisome assuming it isn’t a node?
Also is 2.4 by 1.4 by 0.8 cm large? I know they safe lymph nodes under the jaw often are larger and more rounded but isn’t that long to short ratio bad?
1081992 tn?1389903637
COMMUNITY LEADER
"Also is 2.4 by 1.4 by 0.8 cm large? ... isn’t that long to short ratio bad?"
True, technically, it's less than 2 to 1.  But I wouldn't think it's a hard and fast rule. Somewhere there might be a study that lists individual subject's data, and likely there are some that are less than 2 to 1 but are still benign.
1081992 tn?1389903637
COMMUNITY LEADER
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6555335/

Table 1 shows 16.8% of 'oval' nodes as being benign.
1 Comments
16.8% is still a strong minority.. wouldn’t that make this more concerning?
1081992 tn?1389903637
COMMUNITY LEADER
"...is having a little calcifies spot in soft tissue worrisome assuming it isn’t a node?"
I don't know but I doubt it.
1 Comments
So interesting find! When moving my records to a new place they note in a chest X-ray when I was 4 that I had ‘central lung calcifications, indicative of past granulomus disease’ on my chest CT from a year ago sure enough it mentions a ‘tiny spot of calcifies tissue in lungs’ while I know there’s really no risk of it being cancer, doesn’t that point towards sarcoidosis? Or is that different?  
1081992 tn?1389903637
COMMUNITY LEADER
"Table 1 shows 16.8% of 'oval' nodes as being benign."

Scratch 'oval', that should say 'round' instead.


Also from that table, S/L ratio ≥0.67 is benign in 35% of cases. Whereas your ratio is less round at only 0.58
1081992 tn?1389903637
COMMUNITY LEADER
"sarcoidosis"
Yep.

And also a real, fungus infection called histoplasmosis. Are you in the Mississippi River  Valley? Ohio River Valley? Neck nodes aren't common, but rarely can be: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687211/

Then also TB, or a mycobacteria that is like TB but isn't TB.

Sarcoidosis and TB do both come to mind when there exists lung granulomas and cervical nodes. TB wasn't as common  ~20 yrs ago as today, though.

Why did you have the CXR at 4 yrs old?

This probably increases the possibility that your neck nodes are granulomatous and less likely fibrosis. Or both. Your FNA mentioned neither, right? With this new info, probably a core needle would have been better - as it gets a core sample of tissue rather than just isolated cells.
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