Cancer and lymph nodes: MedlinePlus Medical Encyclopedia (2024)

Lymph nodes are part of the lymph system, a network of organs, nodes, ducts, and vessels that support the body's immune system.

Nodes are little filters throughout the body. The cells in lymph nodes help to destroy infection, such as from a virus, or harmful cells, such as cancer cells.

Cancer can spread to or start in lymph nodes.

How Cancer Gets in the Lymph Nodes

Cancer can start in the lymph nodes. This is called lymphoma. There are several types of lymphomas, such as non-Hodgkin lymphoma.

Cancer cells can also spread to the lymph nodes from a cancer in any part of the body. This is called metastatic cancer. Cancer cells break off from a tumor in the body and travel to an area of lymph nodes. The cancer cells often travel to nodes near the tumor first.

How Cancer in Lymph Nodes is Found

Nodes swell as they work hard to fight cancer cells.

You or your health care provider may feel or see swollen lymph nodes if they are close to the surface of the skin, such as in the neck, groin, or underarms.

Keep in mind that many other things also can cause lymph nodes to swell. So having swollen lymph nodes does not mean you definitely have cancer.

When a provider suspects that cancer cells may be present in lymph nodes, certain tests may be performed to detect cancer, such as:

What it Means When Cancer is Found

A node can have a small or large amount of cancer cells in it. There are hundreds of nodes throughout the body. Several clusters or only a few nodes may be affected. Nodes near or far from the primary tumor may be affected.

The location, amount of swelling, and number of nodes affected will often help determine the treatment plan. When cancer has spread to lymph nodes, it is in a more advanced stage.

The cancer in lymph nodes can be treated with:

Removing Lymph Nodes

Surgical removal of lymph nodes is called lymphadenectomy. Surgery can help to get rid of the cancer before spreading further.

After nodes are removed, fluid has fewer places to go. Sometimes back up of lymph fluid, or lymphedema, can occur.

When to Call the Doctor

Contact your provider if you have questions or concerns about swollen lymph nodes or your cancer treatment.

Alternative Names

Lymph gland; Lymphadenopathy - cancer

References

Euhus D. Lymphatic mapping and sentinel lymphadenectomy. In: Cameron AM, Cameron JL, eds. Current Surgical Therapy. 13th ed. Philadelphia, PA: Elsevier; 2020:685-689.

Hall JE, Hall ME. The microcirculation and lymphatic system: capillary fluid exchange, interstitial fluid, and lymph flow. In: Hall JE, Hall ME, eds. Guyton and Hall Textbook of Medical Physiology. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 16.

Review Date 8/15/2022

Updated by: Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Related MedlinePlus Health Topics

Cancer and lymph nodes: MedlinePlus Medical Encyclopedia (2024)

FAQs

What is the survival rate of cancer in the lymph nodes? ›

What is the survival rate when cancer spreads to the lymph nodes? This will depend on the type of cancer, the treatment available, and other factors. For people with breast cancer, the 5-year survival rate when cancer is only in the breast is 99% . If cancer spreads to the lymph nodes, the rate is 86%.

What stage of cancer do lymph nodes swell? ›

Cancer can also start in the lymph nodes. These are called lymphomas. "In general, cancers that have spread to the lymph nodes are typically stage 2 or 3," says Juan Santamaria, MD, Nebraska Medicine surgical oncologist. "Many of these cancers are still treatable and even curable at this stage.

Where are most cancerous lymph nodes located? ›

Common symptoms of having lymphoma include swelling of lymph nodes in your neck, in your armpits or your groin. This is often but not always painless and often could be associated with fevers, or unexplained weight loss, or drenching night sweats, sometimes chills, persistent fatigue.

How serious is cancer in the lymph nodes? ›

To metastasize, cancer cells break off from the primary tumor and travel through the blood or lymph to other organs. If someone is found to have cancer in their lymph nodes, it's usually a bad sign that the cancer has or will soon spread to other parts of the body. Most cancer deaths are caused by metastatic cancer.

What is the life expectancy of someone with lymph node cancer? ›

More than 70 percent of people live longer than 5 years after their diagnosis. Your outlook depends on factors such as your overall health, age, and the type of non-Hodgkin's lymphoma you have. Your healthcare team can give you the best idea of what to expect.

Can chemo get rid of cancer in lymph nodes? ›

Other treatment options for cancer in the lymph nodes may include chemotherapy, radiation therapy, a stem cell transplant, immunotherapy or targeted therapy. There's a higher risk for cancer to come back following surgery when a cancer has spread to lymph nodes.

Do removing lymph nodes stop cancer from spreading? ›

Lymphadenectomy, or lymph node dissection, is an important step in staging and treating cancer. It gives your healthcare team crucial information about your condition and may stop cancer from spreading in the process.

Does cancer spread fast once in the lymph nodes? ›

On the other hand, if your doctor finds the cancer cells have traveled to lymph nodes far from the initial tumor, the cancer may be spreading at a faster rate and could be in a later stage. Additionally, it's important to know how many cancer cells have traveled to the respective lymph node.

What level of lymph nodes are usually metastasis? ›

The regional nodal basins of the central and lateral neck are the first site of lymph node metastasis in PTC. Furthermore, the most common metastatic area is the central compartment (level VI), sequentially followed by levels III, IV, II, and V (6, 7).

Do cancerous lymph nodes show up on a CT scan? ›

If the swollen lymph nodes are deep inside the chest or tummy (abdomen), you will not be able to see or feel them. But they may be visible on a CT scan. Often there are no symptoms of cancer. But sometimes swollen lymph nodes press on nearby organs or tissue.

How can doctors tell if a lymph node is cancerous? ›

Lymph nodes deep in the body cannot be felt or seen. So doctors may use scans or other imaging tests to look for enlarged nodes that are deep in the body. Often, enlarged lymph nodes near a cancer are assumed to contain cancer. The only way to know whether there is cancer in a lymph node is to do a biopsy.

At what stage is lymphoma terminal? ›

Stage 4. Stage 4 is the most advanced stage of lymphoma. Lymphoma that has started in the lymph nodes and spread to at least one body organ outside the lymphatic system (for example, the lungs, liver, bone marrow or solid bones) is advanced lymphoma.

How fast do cancerous lymph nodes grow? ›

With lymphoma, the lymph nodes often grow slowly and may be there for months or years before they're noticed. But sometimes they grow very quickly. Usually, the swollen nodes don't hurt. But some people say their lumps ache or are painful.

Can cancer go from stage 1 to 4? ›

Stages Don't Change

For example, if you're diagnosed with stage II lung cancer, that's what it will be called, whether it spreads or goes into remission. That's when cancer cells are gone. This is because your treatment options and chances of recovery usually are based on how early your cancer is found.

What are the odds of beating lymph node cancer? ›

The overall 5-year relative survival rate for people with NHL is 74%. But it's important to keep in mind that survival rates can vary widely for different types and stages of lymphoma.

Is lymph cancer curable? ›

The goal of Hodgkin lymphoma treatment is to cure the disease. More than 80 percent of all patients diagnosed with Hodgkin lymphoma can be cured by current treatment approaches. The cure rate is higher, approaching 90 percent, in younger patients and those with early-stage favorable disease.

How fast can lymph cancer spread? ›

For this lymphoma, it is typical for lymph nodes to double in size every month, and patients often present within a few months of having noted an enlarged lymph node.

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