[22F] With neck mass and associated symptoms

Patient Description

A 22-year-old female has noticed swelling on the right side of her jaw, which began gradually after a second lump appeared on her neck. The swelling has persisted for about three days without significant change. The patient reports associated fatigue, occasional nausea, and pain when touching the lumps, which radiates to the soft palate where another lump is present. There is no fever, unexplained weight loss, recent infections, or changes in appetite, although she experiences a sensation of something stuck in her throat when swallowing and occasional shortness of breath. The patient vapes and has a family history of lung cancer, throat cancer, and lymphoma, but no thyroid issues. She has a CT scan scheduled for next week. No medications are currently being taken, and there are no pre-existing conditions.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  1. Lymphadenopathy: Swollen lymph nodes can occur due to infections, inflammation, or more serious conditions like lymphoma. The pain and swelling near your jaw and neck could be related to this.

  2. Thyroid or Salivary Gland Issues: Swelling in the neck area can sometimes be related to thyroid or salivary gland problems, which might explain the sensation of something stuck in your throat.

  3. Infection or Inflammation: Even without a recent infection, underlying inflammation could cause swelling and discomfort.

Given your family history of cancer, it's important to follow up with your healthcare provider for further evaluation, including the upcoming CT scan.

What you can do

For the swelling and lumps:

  • Avoid touching or pressing on the lumps to minimize pain.
  • Keep your head elevated, especially when sleeping, to reduce swelling.

For fatigue and nausea:

  • Ensure you are staying hydrated and eating small, balanced meals.
  • Rest as needed and avoid overexertion.

General advice:

  • Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
  • Follow up with your healthcare provider after your CT scan for a detailed evaluation.

What you should look out for

Seek medical attention if you experience:

  • Rapid increase in swelling or pain.
  • Difficulty breathing or swallowing.
  • Unexplained weight loss or persistent fever.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask

What could cause swelling and lumps in the neck and jaw area?

Swelling and lumps in the neck and jaw area can be caused by a variety of factors, including lymphadenopathy (swollen lymph nodes), infections, inflammation, or issues with the thyroid or salivary glands. In some cases, more serious conditions like lymphoma could be involved, especially if there is a family history of cancer.

How can vaping affect my symptoms or condition?

Vaping can irritate the throat and respiratory system, potentially exacerbating symptoms like the sensation of something stuck in the throat or shortness of breath. It may also contribute to inflammation, which could worsen swelling and discomfort.

What are the potential implications of a family history of cancer on my current symptoms?

A family history of cancer, such as lung, throat, or lymphoma, can increase the risk of similar conditions. It is important to inform your healthcare provider about this history, as it may influence the diagnostic process and the urgency of further investigations like a CT scan.

What should I do if I experience increased difficulty in breathing or swallowing?

If you experience increased difficulty in breathing or swallowing, it is important to seek medical attention promptly. These symptoms could indicate a worsening of your condition or a more serious underlying issue that requires immediate evaluation and treatment.

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