You’ve Already Seen My Report And Commented But You May

Posted on Mon, 7 Jan 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 7 Jan 2019 Answered on

Last reviewed on

Question : You’ve already seen my report and commented but you may remember it mentions node I think 10 mm near submandibular or adjacent.

Based on below information

Size criteria
most nodes: 10 mm in short-axis
submental and submandibular: 15 mm
retropharyngeal: 8 mm

Does that mean normal is up to 10 mm or 15 mm? Thanks

Follow up: Dr. Sumit Bhatti (0 minute later)

You’ve already seen my report and commented but you may remember it mentions node I think 10 mm near submandibular or adjacent.

Based on below information

Size criteria
most nodes: 10 mm in short-axis
submental and submandibular: 15 mm
retropharyngeal: 8 mm

Does that mean normal is up to 10 mm or 15 mm? Thanks

Follow up: Dr. Sumit Bhatti (25 hours later)

I’m still confused if the node in question was adjacent to submandibular is it permitted to be up to 10 mm or 15 mm according to above guide.

And does cancer tend to effect more than one node?

I know you said likely not cancer.

Thanks again for your patience

Follow up: Dr. Sumit Bhatti (0 minute later)

Answered by Dr. Sumit Bhatti (31 hours later)

Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for following up.

1. Lymph nodes below 10 mm are considered insignificant.

2. A 15 mm lymph node will only require observation.

3. Cancerous nodes tend to be multiple in progression. Other factors such as consitency, shape, vascularity, FNAC and so on also help differentiate between reactive nodes and cancerous nodes. The primary tumor site also clinches the diagnosis in most cases.

4. In your case, only regular observation and follow up is advised.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Kampana