The lymph nodes under the neck and behind the ears are the easiest to feel because the lymph nodes in these two places are superficial lymph nodes. Therefore, when the lymph nodes are painful, it is usually the lymph nodes under the neck and behind the ears that are painful. The reason why the feeling of lymph node pain occurs is that the virus invades the inside of the lymph nodes. At this time, in order to avoid more serious causes due to lymph pain, the patient must go to the hospital for a comprehensive examination. Which department should he go to during the examination? 1. Which department should I go to for swollen lymph nodes in the neck? You should go to the lymph department. For example, all large hospitals have lymphatic departments. You should never go to the hematology department. Hematologists specialize in leukemia but have only a vague understanding of lymphoma. Hematologists cannot read CT films, and lymphoma requires CT scans for evaluation. The attending physician must personally look at the CT scan, and the report given by the imaging department can only be used for reference. Lymphoma is a group of malignant tumors originating from lymph nodes or other lymphoid tissues. Lymphocytes and/or tissue cells proliferate in large numbers in the tumor tissue. It can be divided into two categories: Hodgkin's disease (HD) and non-Hodgkin's lymphoma (NHL). Histologically, tumorous proliferation of lymphocytes and/or histiocytes can be seen. The most typical clinical symptom is painless lymphadenopathy, liver and spleen are often enlarged, and in the late stage there are cachexia, fever and anemia. 2. Causes of swollen lymph nodes in the neck Lymphadenitis is often secondary to other purulent infection lesions and is caused by pathogenic bacteria invading the lymph nodes along the lymphatic vessels. The main pathogen of this disease is pyogenic bacteria. When the human body suffers accidental injury or secondary to other purulent infections, purulent bacteria invade local lymph nodes along the lymphatic vessels and cause acute inflammatory lesions. The main pathological changes are lymph node congestion, edema and exudation, with coagulated lymph fluid and bacteria. 3. Symptoms of swollen lymph nodes in the neck Swelling of lymph nodes in the corresponding drainage area caused by acute or chronic infection of local tissues is called nonspecific lymphadenitis. Generally, during acute inflammation, the swollen lymph nodes are painful and tender, have a smooth surface, and are strictly localized. Sometimes a "red line" caused by lymphangitis can be seen, running from the primary lesion to the locally swollen lymph nodes. The local skin may have redness, swelling, heat, and pain, often accompanied by fever and increased white blood cell count. The lymph nodes can often shrink after treatment. Chronic nonspecific lymphadenitis is often the result of chronic inflammation in the corresponding area. The swollen lymph nodes are of medium hardness and often do not show signs of acute inflammation such as local redness, swelling, heat, and pain. |
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