Lymphadenopathy

Harrogate and District NHS Foundation Trust

Definition/Description

Swelling of lymph nodes

Red Flag Symptoms

None provided

Guidelines on Management

Causes

  • Acute and chronic bacterial infections
  • Syphilis
  • Auto-immune conditions
  • Malignancy (haematological / matastatic)
  • Viral infections (including HIV, EBV, CMV)

Referral Criteria/Information

Refer to Haematology as urgent (suspected cancer pathway) if has lympadenopathy associated with:

  • B symptoms
    • Weight loss >10% over 6 months
    • Drenching sweats
    • Unexplained fever >38°C
  • Liver and spleen enlargement
  • Rapidly increasing in size
  • Generalised lymphadenopathy
  • Cytopenias 

Appropriate referral to surgical team or ENT for biopsy / radiological biopsy (US or CT guidance) if:

  • Localised unexplained adenopathy
    OR
  • Concerns of metastatic node

Associated Policies

There are no associated policies.

Specialties

Haematology North Yorkshire

Places covered by

  • North Yorkshire

Hospital Trusts

  • Harrogate and District