Bilateral cervical lymph nodes 20x19mm suggests that there are bilateral cervical lymph node enlargement, and the possible causes are: cervical lymphadenitis, lymph node tuberculosis, lymphoma, cervical lymph node metastasis of malignant tumors and so on.
1. Cervical lymphadenitis: cervical lymphadenitis is mostly caused by the spread of infections in neighboring areas, such as tonsillitis, purulent bronchitis, gingivitis and so on.
2. Lymph node tuberculosis: Mycobacterium tuberculosis is easy to invade lymph nodes and cause lymph node enlargement, cervical lymph node tuberculosis is often caused by Mycobacterium tuberculosis infection through tonsils or dental caries, which is mainly manifested as painless enlargement of lymph nodes of one or both sides of the neck, and it can be pushed in the initial stage, and the lymph nodes can be fused with each other to form lumps in the later stage.
3. Lymphoma: Lymphoma is a malignant tumor originated from lymphatic tissues, preferred in cervical lymph nodes, manifested as painless progressive lymph node enlargement, accompanied by low-grade fever, night sweats, itchy skin and other systemic manifestations.
4. Lymph node metastasis of malignant tumors: Neck lymph nodes are easy to be metastasized by many malignant tumors, such as thyroid cancer, esophageal cancer, breast cancer, nasopharyngeal carcinoma and so on.
It is recommended to go to the hospital as soon as possible for diagnosis of bilateral enlarged cervical lymph nodes, so as to clarify the cause of the disease in time and provide targeted treatment.