 Fauquier ENT News Palpable neck lymph nodes are extremely common in children—most are benign and reactive from frequent viral or bacterial infections. However, certain features, including size, location, and persistence, can signal the need for further evaluation to rule out more serious conditions like lymphoma or metastatic disease.
1. Normal Lymph Node Size in ChildrenChildren’s lymphatic systems are more active than adults’, so small, palpable nodes are normal, especially in the cervical region. Abnormal enlargement is also fine if transient and not cause for alarm if it reduces in size within 6 weeks. That said, typical upper limits of normal (short-axis diameter):
| Submandibular / Jugulodigastric | ≤ 2.0 cm | Commonly enlarged after throat or ear... |
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