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What could be causing chronic swollen, painful axillary lymph nodes?

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What could be causing chronic swollen, painful axillary lymph nodes?

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I am 22 yrs old. Probably 6 years ago, at least, I went to the doctor to have swollen, painful lymph node checked out. They did a sonogram, not concerned. Said they didn’t see any thing. I have recently had a lump in my breast found. They’ve done a sonogram but are not concerned. I was wondering what, if anything could cause a chronic, painful, swollen lymph node. (Swollen lymph node and breast lump are on the same side.

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