Lymphadenopathy

Enlarged lymph nodes in children are usually from a benign process and are most commonly noted in the ages of 1-8. However, they warrant close study and possible work-up to treat infections and malignancies. 

Signs/Symptoms that can represent malignancy:  

• Enlarged lymph nodes over in multiple places
• Firm
• Several nodes that feel stuck together
• Painless
• Large 

Many causes of lymphadenopathy:  

• Infection (viral, bacterial, fungal or protozoal)
• Inflammatory diseases
• Malignancy (leukemia, lymphoma, neuroblastoma)
• Reaction to certain medications
• Hyperthyroidism
• Cat scratch disease 

Treatment: 

• If infectious, antibiotics
• Surgical excision