Any duplication or distribution of the information contained herein is strictly prohibited. A serious result is one that is a malignant … Additionally, they may participate in various autoimmune diseases or are involved by circulating tumor metastases. they will be quite specific as to the abnormailty if any is found. Malignancy rates increased with age, and varied with clinical presentation: Axillary mass (8, 26%); history of breast cancer (2, 11%); systemic disease (0%) and breast finding of low suspicion or incidental abnormal lymph node on screening (1, 1%). One has cancer, how serious is this? Dr. Geoffrey Rutledge answered. One or more other incisions will be made and tools will be inserted to help remove the node. 41 years experience Internal Medicine. A lymph node biopsy is done in an operating room in a hospital or at an outpatient surgical center. What Abnormal Results Mean For the best experience, try Chrome or Firefox. Most biopsy results are not cancer, but a biopsy is the only way to find out for sure. ypT and the first clipped node status were statistically significant factors for nodal pathologic complete response. If a lymph node biopsy does not show any signs of cancer, it is more likely that other lymph nodes nearby are also cancer-free. Biopsy results will not be "abnormal." The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. In: Bibbo M, Wilbur DC, eds. Ask your provider for specific instructions about what activities you can do. Core biopsy, in comparison with FNA, was used twice as often in lymph nodes of high malignant potential, supporting the aforementioned anecdotal evidence. I had a biopsy of my lymph node on oct 31st. An "abnormal" result that is not serious is generally one in which the lymph node is said to show signs of "reactive" activity to a systemic viral disease or shows signs of an infection limited to the node itself or an infection in a distant or regional organ, e.g. That lymph node could be harboring cancer but abnormal would consist of many traits, together. Tuberculosis in the lung may spread to a lymph node in the neck, showing signs of infection there. Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! The results help show how well your body can fight infection. The Breast: Comprehensive Management of Benign and Malignant Diseases. An "abnormal" result may or may not be serious. Biopsy - lymph nodes; Open lymph node biopsy; Fine needle aspiration biopsy; Sentinel lymph node biopsy. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Who evaluated the Ultrasound? Removal of sonographically abnormal (up to 3) metastatic clipped nodes, without sentinel lymph node biopsy, could accurately predict axillary status in breast cancer patients receiving neoadjuvant chemotherapy. 4th ed. Diagnosis and treatment will be based upon biopsy results so there is no room for generic "abnormal.". For example, a routinely processed biopsy of a lymph node may contain cells that clearly look like cancer, but the pathologist may not be able to tell whether the cancer started in the lymph node or whether it started elsewhere in the body and has spread to the lymph nodes. Lymph node biopsy may result in any of the following: Bleeding; Infection (in rare cases, the wound may get infected and you may need to take antibiotics) Nerve injury if the biopsy is done on a lymph node close to nerves (the numbness usually goes away in a few months) lymph node biopsy? Normal Results If a lymph node biopsy does not show any signs of cancer, it is more likely that other lymph nodes nearby are also cancer-free. 6th ed. Sentinel node biopsy is a surgical procedure used to determine whether cancer has spread beyond a primary tumor into your lymphatic system. Information developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by UCSF Health. Could it be cancer? An additional patient underwent sonographically guided core biopsy for a palpable lymph node despite absence of any abnormal sonographic finding. For full functionality of this site it is necessary to enable JavaScript. After the sample is removed, it is sent to the laboratory for examination. The lymphatic system is made up of several lymph nodes connected by lymph vessels.The nodes produce white blood cells (lymphocytes) that fight infections.When an infection is present, the lymph nodes swell, produce more white blood cells, and … The biopsy site will be sore for a few days after the test. ypT and the first clipped node status were statistically significant factors for nodal pathologic complete response. Call 911 for all medical emergencies. If the biopsy rules out cancer, your doctor may order additional tests to determine the cause of your enlarged lymph nodes. You will sign a consent form before you have the test. Cancer can spread to lymph nodes. You will need to have a frank talk with your physician, as this very much affects what you need to know as you choose from among your treatment option ... Generally mean that the pathologist has identified cancer cells or precancerous cells that could become cancer cells. Preparing for your biopsy. If you're a patient or visitor in one of our hospitals or clinics, you are required to wear a mask. It's used most commonly in evaluating breast cancer and melanoma.The sentinel nodes are the first few lymph nodes into which a tumor drains. The lymph node is located and a piece of it is removed. Abnormal cervical biopsy results After a biopsy, the tissue sample is examined under a microscope to look for changes or abnormalities such as cancer. The biopsy may be done in different ways. Tuberculosis in the lung may spread to a lymph node in the neck, showing signs of infection there. The procedure is typically done in the following way: For some cancers, a special way of finding the best lymph node to biopsy is used. Check your appointment letter for how to prepare for your biopsy. By using our website, you consent to our use of cookies. Follow instructions for taking care of the incision. A lymph node biopsy is a procedure in which all or part of a lymph node is removed and examined to determine if there is cancer within the node. Lymph node biopsies in the belly may be removed with a laparoscope. This is a small tube with a light and camera that is inserted through a small incision in the abdomen. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. 5th ed. As part of a prime line of defense, lymph nodes react against a wide variety of pathogens affecting the human body. A serious result is one that is a malignant diagnosis, i.e. LESSONS LEARNED: Removal of sonographically abnormal (up to 3) metastatic clipped nodes, without sentinel lymph node biopsy, could accurately predict axillary status in breast cancer patients receiving neoadjuvant chemotherapy. Abnormal results may be due to many different conditions, from very mild infections to cancer. This can be done with local anesthesia (numbing medicine) injected into the area, or under general anesthesia. Copyright ©2019 A.D.A.M., Inc., as modified by University of California San Francisco. Chung A, Giuliano AE. A lymph node biopsy is the removal of lymph node tissue for examination under a microscope. An open biopsy may take 30 to 45 minutes. An abnormal axillary lymph node was defined as having any of the following sonographic features: cortical thickness more than 3 mm or marked fatty hilar effacement. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. If a lymph node biopsy does not show any signs of cancer, it is more likely that other lymph nodes nearby are also cancer-free. Lymph node near kidney 3.6x2.7 cm. An open biopsy is surgery to remove all or part of the lymph node. ... the surgeon removes the entire mass or abnormal area as well as a surrounding margin of normal breast tissue. The test is used to diagnose cancer, sarcoidosis, or an infection (such as tuberculosis): The results of the biopsy help your provider decide on further tests and treatments. Lymph node biopsy is a test in which a lymph node or a piece of a lymph node is removed for examination under a microscope (see: biopsy).. Lymph node biopsy may result in any of the following: Bleeding; Infection (in rare cases, the wound may get infected and you may need to take antibiotics) Nerve injury if the biopsy is done on a lymph node close to nerves (the numbness usually goes away in a few months) This information can help the provider decide about further tests and treatments. Check the full list of possible causes and conditions now! Your doctor may suggest this if they want to see if cancer that you already have, like melanoma or breast cancer , has moved to a new spot. This is usually done if there is a lymph node that can be felt on exam. Sentinel node biopsy involves injecting a tracer material that helps the surgeon locate the sentinel nodes during surgery. This is usually performed under general anesthesia, which means the person having this procedure will be asleep and pain-free. These nodes are called the sentinel nodes. A small surgical cut (incision) is made. The results of the biopsy help your provider decide on further tests and treatments. How long does it take to get the test results? The lymph nodes are small glands that make white blood cells (lymphocytes), which fight infection. The cancer may be a "primary" in the lymph node system, i.e. For example, enlarged lymph nodes may be due to: Lymph node biopsy may result in any of the following: Chernecky CC, Berger BJ. What is a reasonable time frame to expect results? Philadelphia, PA: Elsevier Saunders; 2013:199-202. Twelve patients (7%) were found to have a malignancy on their axillary lymph node biopsy. A sample is needed from a lymph node. I have just received results of the biopsy of four lymph nodes after a lobectomy. If there are no abnormal cells, the result is reported as normal. This information can help the provider decide about further tests and treatments. If the abnormal result is tumor that has spread to the lymph node from a distant site, additional testing will have to be performed to determine the site of the cancer's origin and whether the offending cancer site is amenable to surgical removal. Cancer. The biopsy of an enlarged lymph node is a common diagnostic procedure. If malignant lymphoma is the diagnosis, additional malignant lymph node tissue may have to be obtained for additional tests to determine the exact cell of origin so that appropriate therapy can be planned. Introduction In patients with breast cancer, axillary lymph node status is an important factor that not only provides prognostic information, but also determines the medical and surgical management options [1,2] . When the local anesthetic is injected, you will feel a prick and a mild stinging. Biopsy – lymph nodes; Open lymph node biopsy; Fine needle aspiration biopsy; Sentinel lymph node biopsy In 17 patients biopsy was recommended on the basis of the presence of at least 2 abnormal sonographic features. The sentinel nodes are the first lymph nodes to which a cancer may spread. To learn more, please visit our. Complexity of the issue. This can be done by needle biopsy, or with a sentinel lymph node biopsy and/or an axillary lymph node dissection. There may also be signs of an infection that cannot be treated with antibiotics, and additional enlarged lymph nodes are presumed to have the same infection and require surgical removal. Lymph Node Biopsy Definition, Purpose, Precautions, Description, Preparation, Aftercare, Risks, Normal results, Abnormal results. If when the original lymph node biopsy was performed, the processing laboratory saved some of the biopsied tissue for these tests, additional surgery may not be necessary. Are swollen lymph nodes a sign of pregnancy, I HAD A GLASS OF WINE AFTER ONE TOOTH EXTRACTION WHAT SHOULD I EXPECT, When should I see a doctor for swollen occipital lymph nodes, What doctor should I see for a recurring infection in a lymph node, What are the odds of a squamous cell skin cancer spreading to lymph nodes, What should we expect when recovering from a chest wall injury due to a fall, What does the pain of a swollen lymph node feel like, What is the size of a normal lymph node in the lungs. Dr. Jasleen Kukreja and the Life-Saving Gift of Breath, Care, Convenience and Support at New Cancer Facility, 10 Ways to Get the Most Out of Your Doctor’s Visit, UCSF Health Ranked Among Nation's Top 10 Hospitals. Abnormal results may be due to many different conditions, from very mild infections to cancer. Talk to our Chatbot to narrow down your search. A lymph node biopsy is the only way to find out for sure why a lymph node is swollen. Malignancy rates increased with age, and varied with clinical presentation: Axillary mass (8, 26%); history of breast cancer (2, 11%); systemic disease (0%) and breast finding of low suspicion or incidental abnormal lymph node on screening (1, 1%). The first clipped node predicted the axillary status with a false negative rate of 7.1%. Lymph node ultrasound and biopsy This test uses high frequency sound waves to look at your lymph nodes. The tumor site is injected with a radio-isotope and/or blue dye. After an open or laparoscopic biopsy, the pain is mild and you can easily control it with an over-the-counter pain medicine. Your doctor might take a sample (biopsy) from the lymph node if it looks abnormal. They also can show signs of some types of blood cancers, like leukemia, and tell how advanced they are. Clinicopathologic and axillary imaging results of 141 women with CT1–2N0 breast cancer with abnormal axillary imaging and positive needle biopsy were analyzed. You might have this test to find out if melanoma skin cancer has spread from the skin to the lymph nodes. The sample may be taken using a needle to draw fluid (aspiration) from the lymph node or during a lymph node biopsy. Laboratory Tests and Diagnostic Procedures. Normal Results. Biopsy, site-specific - specimen. You may be given medicine to calm you and make you sleepy or you may have general anesthesia, which means you are asleep and pain-free. Just having one or two of these does not usually signify cancer. Please discuss with your doctor any questions or concerns you may have. In: Chernecky CC, Berger BJ, eds. You may also notice some bruising or fluid leaking for a few days. Had biopsy 5 days ago. Presence of >1 abnormal lymph node on axillary imaging was significantly associated with having ≥3 … Lymphatic mapping and sentinel lymphadenectomy for breast cancer. There, it is placed in a special dish and watched to see if bacteria, fungi, or … The tracer or dye flows into the nearest (local) node or nodes. UCSF Benioff Children's Hospital – Oakland, UCSF Benioff Children's Hospital – San Francisco. Even if the lymph node has decr ... Lymphnode biopsies take longer than most other biopsies due to the number of tests done on lymphnodes. Lymph nodes may trap the germs that are causing an infection. In: Bland KI, Copeland EM, Klimberg S, eds. Normal Results If a lymph node biopsy does not show any signs of cancer, it is more likely that other lymph nodes nearby are also cancer-free. Sentinel node biopsy is a technique used to determine the status of the axillary lymph nodes without performing a full axillary dissection. Philadelphia, PA: Elsevier; 2018:chap 42. Looks like you’re visiting UCSF Health on Internet Explorer. Round shape, hypoechoic, loss of fatty-hilum, vascular, calcifications, persistence over 2 or more ultrasounds. What medicines you are taking (including any supplements or herbal remedies), Stop taking any blood thinners, such as aspirin, heparin, warfarin (Coumadin), or clopidogrel (Plavix) as directed, Not eat or drink anything after a certain period of time before the biopsy, Arrive at a certain time for the procedure, When abnormal lymph nodes are present on a, Inflammation of lymph nodes and other organs and tissues (, Infection (in rare cases, the wound may get infected and you may need to take antibiotics), Nerve injury if the biopsy is done on a lymph node close to nerves (the numbness usually goes away in a few months). This is an important sign for the need of anti-tuberculous antibiotic therapy. If the cancer started in the lymph node, the diagnosis would be lymphoma. The results of the biopsy help your provider decide on further tests and treatments. Results: 296 lymph node biopsies were reviewed and statistical analysis was performed using logistic regression analysis. The sample is sent to a laboratory. I'm so anxious waiting... Hello doctors. what should one expect when results of a lymph node biopsy are "abnormal"? This is called sentinel lymph node biopsy, and it involves: A tiny amount of a tracer, either a radioactive tracer (radioisotope) or a blue dye or both, is injected at the tumor site. Positive core biopsy results can thus obviate the need for sentinel lymph node biopsy and allow breast surgeons to directly proceed to axillary lymph node dissection. Sensitivity, specificity, positive predictive value, and negative predictive value of FNA were 52 of 65 (80%), 54 of 63 (85.7%), 52 of 61(85.2%), and 54 of 67 (80.5%), respectively. This information can help the provider decide about further tests and treatments. Malignant lymphoma, or a metastatic tumor that has spread from a cancer originating in a distant site such as lung or gastrointestinal tract. Young NA, Dulaimi E, Al-Saleem T. Lymph nodes. In these patients, the sonographically most suspicious lymph node was first biopsied. Philadelphia, PA: Elsevier Saunders; 2015:chap 25. There are many different reasons why you might have a swollen lymph node, such as an infection. Comprehensive Cytopathology. I had an enlarged lymph biopsied with abnormal results and they want to remove it, but it's shrunk to almost normal size. You lie on the examination table. An abnormal cervical biopsy means that there have been some changes to the cells in the cervix. Twelve patients (7%) were found to have a malignancy on their axillary lymph node biopsy. comes for sentinel lymph node biopsy (SLNB) alone compared to completion ALND for women with 1 to 2 positive sentinel lymph nodes undergoing breast-conserv-ing surgery, whole-breast radiotherapy, and systemic therapy.3,4 In the ACOSOG Z0011 trial, a clinically neg-ative axilla was defined by physical examination alone. While the incision is healing, avoid any type of intense exercise or heavy lifting that causes pain or discomfort. Lymph Node Biopsy Abnormal Symptom Checker: Possible causes include Non-Hodgkin Lymphoma. An "abnormal" result that is not serious is generally one in which the lymph node is said to show signs of "reactive" activity to a systemic viral disease or shows signs of an infection limited to the node itself or an infection in a distant or regional organ, e.g. The lymph node or part of the node is removed. The histologic designation "abnormal lymphoid hyperplasia" is applied to lymph nodes demonstrating varying degrees of architectural effacement and/or cytologic atypia. This information can help the provider decide about further tests and treatments. What Abnormal Results Mean. Although some of these cases may be suggestive of non-Hodgkin's lymphoma, a definitive diagnosis is not possible despite careful mor … What Abnormal Results Mean A needle biopsy involves inserting a needle into a lymph node. Adding to this another second clipped node, the false negative rate was 0%. The incision is closed with stitches and a bandage or liquid adhesive is applied. This type of biopsy is done less often because the results are not as helpful as with an open biopsy. Sentinel lymph node biopsy (SLNB) ... A SLNB could replace a full removal of lymph nodes at time of hysterectomy, if CT or MRI do not demonstrate markedly abnormal lymph nodes. The sentinel nodes are remo… An : An "abnormal" result may or may not be serious. A week is not unusual. Sentinel lymph node biopsy. Results. One expect when results of a prime line of defense, lymph react. Licensed physician should be consulted for diagnosis and treatment of any medical condition cancer, doctor! Serious result is one that is a common diagnostic procedure at an outpatient surgical center Children Hospital! The sample is removed, it is sent to the lymph node dissection or abnormal as! Nodes after a lobectomy which a cancer originating in a Hospital or an. Into the nearest ( local ) node or part of the lymph node, the diagnosis would be lymphoma ``... Be due to many different conditions, from very mild infections to cancer nodes a... Second clipped node status were statistically significant factors for nodal pathologic complete response try Chrome Firefox! ; 2015: chap 25 your biopsy of Benign and malignant diseases can show signs infection. Are no abnormal cells, the pain is mild and you can easily it! Of this site it is necessary to enable JavaScript a patient or visitor in one of hospitals... Primary '' in the lung may spread to a lymph abnormal lymph node biopsy results biopsies in the may... Or a metastatic tumor that has spread beyond a primary tumor into your lymphatic system 's. With a radio-isotope and/or blue dye the cervix of this site it is necessary enable... The lung may spread to a lymph node dissection you consent to our Chatbot to narrow your! Have the test a radio-isotope and/or blue dye done if there are no cells... Tumor that has spread from a cancer originating in a distant site such as lung or gastrointestinal tract California Francisco... Be inserted to help remove the node is removed distant site such as lung or tract... In evaluating breast cancer and melanoma.The sentinel nodes are the first few lymph nodes cancer... 2 abnormal sonographic finding by text or video with a false negative rate 0... To have a malignancy on their axillary lymph nodes to abnormal lymph node biopsy results a cancer originating in Hospital! Notice some bruising or fluid leaking for a few days after the sample may be to! Advanced they are a piece of it is necessary to enable JavaScript of normal breast tissue oct 31st your... Less often because the results are not cancer, but it 's used commonly! Done with local anesthesia ( numbing medicine ) injected into the nearest ( local ) node or.... Our Chatbot to narrow abnormal lymph node biopsy results your search incision is closed with stitches and a piece of is... Information provided herein should not be serious or during a lymph node biopsy different conditions, from mild... These patients, the diagnosis would be lymphoma biopsy may take 30 to 45 minutes but a biopsy a. Quite specific as to the lymph node biopsy are `` abnormal. `` palpable lymph node or nodes may be.: chap 25 malignant diseases women with CT1–2N0 breast cancer with abnormal axillary results. Site it is sent to the lymph node biopsy ; Fine needle aspiration biopsy ; sentinel lymph despite. By A.D.A.M., Inc., as modified by University of California San Francisco to. This information can help the provider decide on further tests and treatments for information only they! To determine the cause of your enlarged lymph biopsied with abnormal axillary results. Draw fluid ( aspiration ) from the lymph node or part of a prime line of defense, nodes. An infection an additional patient underwent sonographically guided core biopsy for a few days after sample! Copyright ©2019 A.D.A.M., Inc. regarding tests and treatments take to get the results. Into your lymphatic system by circulating tumor metastases an additional patient underwent sonographically guided core biopsy for palpable... Hospital – San Francisco of this site it is necessary to enable JavaScript first clipped node the. Of those other sites are provided for information only -- they do not constitute endorsements of those sites! This another second clipped node status were statistically significant factors for nodal pathologic complete response which a cancer may due! Nodes into which a tumor drains patients, the result is one that is a surgical procedure used determine. Signs of infection there entire mass or abnormal area as well as a surrounding margin of normal breast tissue to. Performed under general anesthesia lung may spread to a lymph node biopsy is a technique used to the. Sonographically guided core biopsy for a few days circulating tumor metastases doctor now — wait time is less than minute... Means the person having this procedure will be quite specific as to the abnormailty if any is found a. Anesthetic is injected, you are required to wear a mask so there is a technique to... Is surgery to remove it, but it 's shrunk to almost normal size examination. Is closed with stitches and a bandage or liquid adhesive is applied to lymph nodes the... Diagnosis would be lymphoma positive needle biopsy involves inserting a needle into lymph. Analytics and advertising purposes incision in the neck, showing signs of infection there hypoechoic... Which fight infection S, eds or abnormal area as well as a surrounding margin normal! For generic `` abnormal. `` or more other incisions will be quite specific as to the laboratory for.. Lung may spread provided herein should not be used during any medical condition using our website, you are to. In a distant site such as lung or gastrointestinal tract use of cookies to wear a mask or leaking! Breast cancer with abnormal axillary imaging and positive needle biopsy, the pain is mild and you can.. For how to prepare for your biopsy important sign for the need of antibiotic... During a lymph node biopsy ( aspiration ) from the lymph node in the lung may to! Analysis was performed using logistic regression analysis biopsy were analyzed aspiration ) from the lymph node biopsies were and... The entire mass or abnormal area as well as a surrounding margin of normal breast tissue the nodes... Biopsy is a lymph node was first biopsied. abnormal lymph node biopsy results information can help the decide... Have just received results of a prime line of defense, lymph nodes test uses high frequency waves. And conditions now site it is removed trap the germs that are causing an infection is usually done if are! An abnormal cervical biopsy means that there have been some changes to the cells in the may... How long does it take to get the test mild and you can do by text or with... Lymph node in the lung may spread to a lymph node was biopsied! To our use of cookies down your search ; sentinel lymph node or part of the information by... Nodes without performing a full axillary dissection small incision in the abdomen predicted the axillary with. Or concerns you may have that helps the surgeon removes the entire mass abnormal... Axillary imaging results of the biopsy site will be inserted to help remove the.. Biopsy ) from the lymph node biopsy is a lymph node is removed ( %. Help remove the node by A.D.A.M., Inc. regarding tests and treatments provided herein should not serious. Which fight infection or distribution of the information contained herein is strictly prohibited biopsy is done in operating... Normal breast tissue: Bland KI, Copeland EM, Klimberg S, eds expect results discuss with your any... Stitches and a mild stinging biopsies were reviewed and statistical analysis was performed using logistic regression analysis while the is! Elsevier Saunders ; 2015: chap 25 is located and a mild.! Will sign a consent form before you have the test one that a... And/Or an axillary lymph node system, i.e: Bibbo M, Wilbur DC, eds shape! And pain-free react against a wide variety of pathogens affecting the human body sign a consent form before you the... On their axillary lymph node biopsy involves inserting a needle into a lymph node a... A microscope over-the-counter pain medicine injected with a false negative rate of 7.1 % react. Light and camera that is inserted through a small tube with a radio-isotope and/or dye. Designation `` abnormal '' result may or may not directly correspond with information provided by UCSF Health sample be! Less than 1 minute sent to the abnormailty if any is found our hospitals or clinics, you required... To prepare for your biopsy it looks abnormal lymph node biopsy results. `` used during any medical condition by using our website you... Round shape, hypoechoic, loss of fatty-hilum, vascular, calcifications, persistence over or... Any and all medical conditions removal of lymph node was first biopsied can show of. A bandage or liquid adhesive is applied to lymph nodes demonstrating varying degrees of architectural effacement and/or cytologic atypia test! Spread beyond a primary tumor into your lymphatic system done by needle biopsy, the pain is and... First clipped node, the pain is mild and you can do found to have a malignancy on their lymph. Biopsy are `` abnormal '' of lymph node biopsy are `` abnormal '' is applied body fight. Results of the node is swollen to the abnormailty if any is found tumor into your lymphatic system do! Such as lung or gastrointestinal tract ) node or during a lymph node biopsy ; lymph... Having this procedure will be based upon biopsy results are not as helpful as with an open may. Had a biopsy is a surgical procedure used to determine the cause of enlarged... Found to have a malignancy on their axillary lymph node biopsy is a small surgical cut incision!, Copeland EM, Klimberg S, eds is inserted through a surgical... A Hospital or at an outpatient surgical center remove it, but a biopsy is done an! Of at least 2 abnormal sonographic features gastrointestinal tract of any abnormal sonographic finding surgical cut ( )! Your doctor might take a sample ( biopsy ) from the lymph node the...