![]() The doctor will usually choose to biopsy the largest lymph node. A sample from a lymph node or an entire lymph node may be removed. If other tests don’t provide a diagnosis or cancer is suspected, your doctor may recommend a biopsy. Imaging tests used may include an ultrasound of your abdomen, pelvis, and groin, or a CT scan of the affected area. Your doctor may order one or more types of imaging tests to help determine possible sources of infection or locate tumors. ![]() ![]() This may include a complete blood count (CBC), blood culture, and HIV tests. The blood tests ordered will depend on what your doctor suspects is causing your swollen lymph nodes. Certain blood tests can help diagnose an underlying condition, including infections and leukemia. Along with cervical swabs and urine and blood samples, urethral swabs and other STI tests may be performed if an STI is suspected. A Pap test checks the cervix for abnormal cells and cervical cancer. You may be asked to provide a sample of your urine to check for signs of a UTI or other infection, including STIs. They’ll also check for other lymphadenopathy and signs of infection and illness, including STIs. Your doctor will examine your swollen lymph nodes for size, consistency, pain, and warmth. Your doctor may also need to do additional testing, which may include: Since certain medications can cause lymphadenopathy, the doctor will also want to know what medications you are taking. They’ll ask about your symptoms, including how long your lymph nodes have been swollen. To diagnose the cause of swollen lymph nodes in the groin, your doctor will begin with your medical and sexual history. Immunodeficiency disorders and infections, such as mononucleosis and chickenpox can also cause swollen lymph nodes. These types of cancers are more likely to cause multiple areas of lymph nodes to swell. Swollen lymph nodes can also be caused by other cancers, such as lymphoma and leukemia. Cancer in the back, pelvis, and lower extremities can spread to the inguinal lymph nodes. In rare cases, swollen lymph nodes in the groin could be due to cancer.
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