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LYMPH GLAND GROWTH IN CHILDREN
Dear parents, I will address an ailment that every child faces at some time in life.
What we call “lymphadenopathy” in medical parlance is most often in the neck; or lymph gland growths that occur in different parts of the body. The reason I chose this topic is that it is very common and rarely; it is a sign of malignant diseases. What is a lymph node before moving on to the growth of lymph nodes? What does it do? And let’s talk about how their structure is.
Dear parents, lymph nodes are present at birth. In other words, they are part of the healthy body, part of the lymphatic system. There are between 300-600 lymph nodes in our body. When a foreign substance (virus, bacteria, fungus, etc.) enters the body, it is transported to the lymph nodes through the lymph vessels. There is an antigenic structure, etc. by identifying it, the formation of an immune response is ensured. The immune substances produced, and these antigens are released into the bloodstream, where a war is started. The goal is to immediately remove this antigen (virus, bacteria..) is the destruction of. They are distributed in the neck, neck, armpit, behind the elbow, above the file bone, behind the leg, groin, abdomen and chest cavity. Each lymph node is responsible for the areas that are connected to it. In other words, wherever the infectious agent enters the body, the lymph gland of that area becomes active. Although a newborn baby has lymph nodes, they cannot be noticed by hand or eye. When does a child encounter virus -bacteria; after that, they begin to grow. between the ages of 8 and 12 are the ages at which lymph nodes are most visible.
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So how much should the lymph gland be cared for if it grows? If it is in the neck or armpit, it must exceed 1 cm, if it is in the groin, it must exceed 1.5 cm. We do not accept those smaller than this lymphadenopathy (LAP). By the way, the LAP seen on the Decal bone is always dangerous and should be handled urgently.
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That means that lymph nodes are found in every child. And their task is to ensure immunity. Their job is to clean up infectious agents such as bacteria, viruses, fungi(i.e. antigens). While doing this, they grow depending on a certain physiological process. The most common cause of LAP is systemic or local infections. And this is mostly related to the locality where it is located. For example, the diseases of that region such as head, neck, throat, ear, teeth, scalp are usually responsible for the LAP on the neck. From those in the groin, infections of the legs, groin area, anal area should be investigated. Therefore, if there is lymphadenopathy somewhere, a pathology should be investigated in the area associated with it. The second cause of LAP, in order of frequency, is inflammation of the lymph gland itself. Viruses, bacteria (…such as streptococcus, staphylococcus) are also responsible for these. According to the clinical evaluation, antibiotic therapy or other treatments may be required. The reasons that have happened so far make up the vast majority of LAP reasons. More rarely, there are also storage diseases and collagen tissue diseases. These are manifested not by lymph gland swellings alone, but by many other symptoms. That’s why I won’t dwell on it.
The reason that worries you and us pediatricians the most is leukemia or lymphomas, although they are rare. LAP is seen in 70 percent of acute leukemias. In lymphomas, which are malignant tumors of the lymph gland, the corresponding lymph gland grows hard and motionless, like a tire. In these, antibiotics or similar treatment approaches do not work, and the gland grows more and more. There is usually no pain. It is also accompanied by symptoms such as fever, weight loss, loss of appetite, night sweats. In the meantime, LAP can also be seen when cancers elsewhere in the body jump to the lymph node. They require much more detailed examinations that require a full-body examination. If malignant (the type of cancer) causes are prediagnosed, a lymph node biopsy and/or bone marrow biopsy may be required.
Dear parents, lymph node enlargement in children is something that can almost always happen. You should know that the most common cause is infections and does not pose a life-threatening risk to your child; it heals spontaneously or with treatment. But with treatment- which does not shrink over time, an infectious agent has not been identified as the cause, tends to grow gradually, fever does not fall in the child-the cause can be serious in cases where there are general symptoms such as weight loss, night sweats.
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When you see a swelling on your child’s neck, do not immediately get upset and upset yourself. Contact your family doctor in Turkey as soon as possible. Stay healthy.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.