Physical examination and diagnostic testing can’t determine the cause.The only way to know for certain if your lymph nodes are benign versus malignant is to perform a lymph node biopsy. imaging tests, such as X-ray, CT scan, MRI, or ultrasound to get a better look at the lymph nodes.blood tests to check for infection and underlying conditions.If your lymph nodes are swollen, your doctor will likely start by feeling some of your lymph nodes and looking for other signs and symptoms of illness. How do doctors diagnose benign vs. malignant lymph nodes? You’re currently in treatment or recently completed treatment for cancer.The area around your lymph nodes is red, feels warm to the touch, or is leaking pus or other fluids.The lymph nodes are getting bigger or are hard and immoveable.You’ve recovered from an illness, but your lymph nodes remain tender or swollen for more than 2 weeks.You have no obvious illness or infection.Signs that swollen lymph nodes should be examined by a doctor include: Lymph nodes are always fighting off invaders, so a few cancer cells may not be enough to cause noticeable swelling. Signs of potentially malignant lymph nodes The swelling is going down as you recover from infection or illness.The swollen lymph nodes are located near an infected body part, such as the throat, ears, or mouth.You have other symptoms, such as coughing, body aches, or nausea that indicate a viral infection or other illness.Here are some signs that swollen lymph nodes are likely benign: However, there are other signs that may provide some clues. As for whether they’re benign versus malignant, you can’t tell by looking at them or feeling them. If you do have swollen lymph nodes, it means they’re fighting off illness. Lymph nodes that are located deeper in the body can swell without you noticing. But when lymph nodes near the surface swell, you can easily feel them with your fingers. When all is well, it can be rather difficult to locate your tiny lymph nodes. How can you tell if a swollen lymph node is benign or malignant?
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