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Lymph Node Checks Mohs Surgery Clinic Why Check Lymph Nodes? If you have certain types of skin cancer, it can spread to other parts of the body forming new growths called metastases (met-tas-te-sees). Even if your main cancer has been removed by surgery, there is a chance that cancer cells may spread away from the area by way of the lymph system. Lymph nodes are all over the body and often act as "filters" to trap cancer cells. For this reason, it is vital for you to check your lymph nodes in the area near your cancer on a routine basis. Where Are Lymph Nodes Found? Lymph nodes are found in chains or clusters (see picture). Not all of the lymph nodes can be felt. They may be flat, round, or oval shaped, and their size often varies from being too small to be felt up to the size of an olive. If checked on a routine basis, you will know how your lymph nodes feel when they are normal, and you will be more aware of any changes if they occur. Changes to Feel and Look For Changes in a lymph node or group of nodes, such as soreness or an increase in size, do not always mean that your cancer has spread since these changes may also occur with infection or other illness. Still, these changes should be noted, and you should tell the clinic of any changes. How to Check Your Lymph Nodes With the pads of your fingers, press lightly using gentle, small circle motions and enough pressure to move the skin, but not so much that the nodes are pushed into the softer tissue around them. Some areas, such as under the arm, may require somewhat firmer pressure. Check the lymph nodes in your _______________________________________ area once a month or as your doctor or nurse instructs. Checking the areas too often can cause swelling and soreness in the area. Who to Call with Problems or Concerns You will be shown where and how to check your lymph nodes while you are in the clinic. If you have any questions or concerns call the Dermatology/Mohs Clinic where you were seen weekdays between 8:00 am and 4:30 pm. After clinic hours, holidays and weekends, the clinic number will be answered by the paging operator. Ask for the Dermatology or Mohs Surgery doctor on call. Leave your name and phone number with the area code. The doctor will call you back. UW Clinic East Dermatology/Mohs Surgery 5249 E. Terrace Drive Madison, WI 53718 (608) 265-1288, press option 2 UW Clinic West Mohs Surgery 451 Junction Rd. Madison, WI 53717 (608) 263-6226 Your health care team may have given you this information as part of your care. If so, please use it and call if you have any questions. If this information was not given to you as part of your care, please check with your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each person’s health needs are different, you should talk with your doctor or others on your health care team when using this information. If you have an emergency, please call 911. Copyright © 11/2014 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4571.