Enlarged lymph node - health anxiety is up the wall.

Hi everyone,

I’m a 20 year old who’s driving herself sick with worry. A year and a half ago I found a lump in my neck where your cervical lymph nodes are. It’s painless (maybe a bit achy at times), firm but moveable and about 1-1.5cm in size as an estimate. I have no other symptoms.

I know I should’ve got it checked out at the time but I have terrible anxiety and was too scared to go to the doctors about it because I’d pretty much already concluded that I had lymphoma and didn’t want to be told something I didn’t want to hear. 

A year and a half later it’s still there. It seems to fluctuate in size, usually feeling a bit bigger when I feel a bit under the weather and smaller when I’m not. It never gets much bigger than about 1.5-2cm but it never fully goes away and this is what is concerning me. 

I’ve recently moved back home from university and without uni to distract me the health anxiety is kicking in big time. I can’t sleep because I keep myself awake until the early hours of the morning obsessing over google and crying. I’m completely miserable and have convinced myself that I’m riddled with cancer because I’ve left it so long to get it checked out. 

After a massive panic attack on Sunday I went to the walk-in centre where the nurse said he was 99% sure it was nothing to worry about but to get an ultrasound anyway just in case. I’m booked in to see my GP this afternoon to sort out the ultrasound but not sure if I can emotionally take the stress of scans and waiting for results etc because my anxiety is just so severe and debilitating.

Honestly not sure what I’m wanting to get from posting here. I’m just tired of being told by my family that I’m being ridiculous when it’s a very real possibility since the main symptom of lymphoma is a painless swelling that doesn’t go away, which is exactly what I have. I know it should be reassuring that I have no other symptoms but I read that other symptoms only occur in around 40% of cases. I guess I’m just shouting into the void.

Parents
  • Hi,

    Given the elapsed amount of time before seeking treatment – the nurse is almost certainly correct, one would expect a Lymphoma grow rapidly to the size of a golf ball  and beyond (no, really). I would be very surprised if they even gave you a biopsy. It’s also worth noting that lymph nodes are measured in the short axis diameter when the evaluating them for cancer.

    I am 24 and I have suffered with health anxiety since I was a teenager. In the past I have been guilty of adopting the same attitude that you describe with regards to avoiding seeing the doctor out of fear for bad news.

    This is not a good strategy for several reasons

    Firstly, it’s unsustainable – as you grow up and have a family of your own, taking care of your health becomes a priority for them, not just for you. You won’t be able to adopt this attitude later in life.

    Secondly, it’s very easy to make misconceptions about medical matters, for example – lymphoma is one of the most treatable cancers, particularly in young people. I was recently referred to a surgeon with regards to lumps in my mouth, I read dozens of in depth papers on oral malignancy and was examining my lymph nodes to the degree that I was using geometry to try to predict their size. When I finally saw the surgeon he said there was absolutely nothing wrong with me, that he specialised exclusively in the diagnosis and treatment of oral cancers and he didn’t really know why I had been referred. I was convinced I was going to be diagnosed with an advanced stage cancer and that this appointment was just a formality in reaching that conclusion. 

    The Cancer Research statistics for 2014-2016 give a female in your age bracket an average chance of approximately 1 in 15000 of developing a Lymphoma in any given year.

    I hope this both puts your mind and ease and encourages you to seek a medical opinion earlier in the future.

     

     

     

Reply
  • Hi,

    Given the elapsed amount of time before seeking treatment – the nurse is almost certainly correct, one would expect a Lymphoma grow rapidly to the size of a golf ball  and beyond (no, really). I would be very surprised if they even gave you a biopsy. It’s also worth noting that lymph nodes are measured in the short axis diameter when the evaluating them for cancer.

    I am 24 and I have suffered with health anxiety since I was a teenager. In the past I have been guilty of adopting the same attitude that you describe with regards to avoiding seeing the doctor out of fear for bad news.

    This is not a good strategy for several reasons

    Firstly, it’s unsustainable – as you grow up and have a family of your own, taking care of your health becomes a priority for them, not just for you. You won’t be able to adopt this attitude later in life.

    Secondly, it’s very easy to make misconceptions about medical matters, for example – lymphoma is one of the most treatable cancers, particularly in young people. I was recently referred to a surgeon with regards to lumps in my mouth, I read dozens of in depth papers on oral malignancy and was examining my lymph nodes to the degree that I was using geometry to try to predict their size. When I finally saw the surgeon he said there was absolutely nothing wrong with me, that he specialised exclusively in the diagnosis and treatment of oral cancers and he didn’t really know why I had been referred. I was convinced I was going to be diagnosed with an advanced stage cancer and that this appointment was just a formality in reaching that conclusion. 

    The Cancer Research statistics for 2014-2016 give a female in your age bracket an average chance of approximately 1 in 15000 of developing a Lymphoma in any given year.

    I hope this both puts your mind and ease and encourages you to seek a medical opinion earlier in the future.

     

     

     

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