The swollen cheeks are not swollen lymph nodes, but lymphoma!

Mondo Health Updated on 2024-01-30

Approaching winter, or the weather is dry and the season changes, Xiaoli has discomfort in his throat and has many tonsil inflammations, so he usually attaches great importance to a light diet. Recently, my neck and cheeks suddenly swelled and my throat hurt, and I went to check that it was swollen lymph nodes, and I was prescribed some medicine to take at home, but I ignored it.

But after a few days, the lymph nodes were swollen again, and they felt like ping-pong balls to the touch, and they found that their cheeks were swollen again, and their chest was tight and painful, and they often had difficulty breathing. couldn't stand it, Xiaoli went to the hospital again, and was diagnosed with lymphoma, Xiaoli was stunned, wasn't it an ordinary problem a while ago, why did it become cancer now.

Xiaoli didn't believe it, and found a few hospitals for diagnosis, but there was also a deviation, and finally I heard a friend's introduction and found us. Unfortunately, Xiaoli did suffer from lymphoma, and Xiaoli was very helpless, at this time he had symptoms such as night sweats, fatigue, rash, and fatigue.

In real life, there are many people who are unaware of lymph nodes like Xiaoli, and they don't realize it until it's serious. Because there are nearly 70 pathological types of lymphoma that are currently known. Lymphocytes can malignantly transform in the place of its birth (thymus, bone marrow) or in the positions where they fight (lymph nodes, spleen, tonsils and lymphoid tissues of other tissues and organs throughout the body), so the clinical manifestations are complex and diverse, and it is no exaggeration to describe it as "ever-changing".

So, it's normal not to know about it.

Lymphoma can be broadly divided into two categories: Hodgkin lymphoma and non-Hodgkin lymphoma. Hodgkin lymphoma accounts for about 10% of lymphoma and is a group of malignant tumors with relatively good efficacy, which are divided into two categories and a total of five types, namely type 4 classical Hodgkin lymphoma and nodular lymphocyte-dominated Hodgkin lymphoma.

Clinical manifestations:

1. The most typical manifestation of lymphoma is the enlargement of the lymph nodes in the superficial area, with a smooth surface and a tough texture, which feels like a ping-pong ball to the touch, or the hardness of the tip of the nose. Swollen lymph nodes in the neck and supraclavicular bones are the most common, followed by axillary and inguinal lymph nodes. There are also patients with deep lymphadenopathy as the main manifestation, such as mediastinum, abdominal and pelvic lymphadenopathy, which has a more insidious onset and is often obvious when it is found.

2. Enlarged lymph nodes may compress the surrounding tissues and organs, and cause corresponding symptoms, such as the mediastinal huge lymph nodes can compress the superior vena cava, resulting in blood return disorders, manifested as facial and neck swelling, chest tightness, chest pain, dyspnea, etc.;Huge pelvic and abdominal lymph nodes can compress the gastrointestinal tract, ureters or bile ducts, causing intestinal obstruction, hydronephrosis or jaundice, and causing abdominal pain and bloating.

3. Lymphoma can also invade organs other than the lymphatic system, manifested as invasion, destruction or compression, obstruction of the corresponding organs, such as gastrointestinal lymphoma is manifested like gastric cancer, bowel cancer, abdominal pain, gastrointestinal ulcer, bleeding, obstruction, compression, etc.;**Lymphoma is often misdiagnosed as psoriasis, eczema, dermatitis, etc.;Invasion of the brain, which can cause headache, blurred vision, speech disorders, unconsciousness, personality changes, and paralysis;Invasion of bones, which can cause bone pain and fractures;Invasion of the nasopharynx can cause nasal congestion, runny nose, nosebleeds, etc., similar to the manifestations of nasopharyngeal cancer.

4. Lymphoma is a systemic disease, therefore, in addition to the above local symptoms, about half of the patients can also have fever, night sweats, fatigue, weight loss, loss of appetite, rash, itching, anemia and other systemic symptoms. It can be seen that if the main manifestation is lymphadenopathy in the superficial area, it may remind us that early detection is possible, and deep lesions are often symptomatic when they are relatively large, so it is difficult to diagnose early. The stage of lymphoma is not as important as other malignancies, and the stage is only one of several factors that determine the prognosis, and the type of pathology and whether the tumor cells are sensitive to chemotherapy regimens are more important.

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