Re: Swollen Lymph Node
Yes, you do need to see your Dr. Here would be my suggestions: A lymph node in the antecubital space is rarely from infection and certainly not one the size of a walnut. HOWEVER, a lymph node and a firm lipoma, a benign fatty tumor, can feel the same. I would request an ultrasound of the lump to try to differentiate which it is first, and if ultrasound shows a node, it should be removed for biopsy. I would have all other lymph node areas checked by physical exam, plus liver and spleen, when you see your Dr. I would also request a complete blood count, chest xray, chemistry panel, urinalysis and thyroid tests to figure out the weight loss. The lump, fatigue and weight loss may or may not be related. If the lump is a node, they probably are, if the lump is a lipoma, they aren't and the reason should be sought. A screening for autoimmune diseases can be done as well, esp if there are other symptoms to suggest that or a family history. If the lump is a node, an excisional biopsy is preferred, as a needle biopsy often doesn't yield enough tissue for a definite diagnosis. Please get this checked out soon, and I hope the lump is just a lipoma, and nothing serious is going on with you.