<s>[INST] Hi I have a enlarged lymphnode on my neck in a couple of spots. I am on watch right now and my oncologist wants me to call back in 4 weeks to see if they have changed. I have fatigue and starting yesterday, my skin has become very itchy and looks like a heat rash from my arms to my feet. I am also a Hodgkins Lymphoma survivor, next month will be 12 years remission. [/INST] Hi, Hodgkins lymphoma has less chance recurrence after 10 years. But in case of cancer survivors possibilities of relapse is always there. Your doctor has done the right thing for keeping you in close follow up to assess the change in lymph nodes. In case of any suspicion he/she may advise tissue diagnosis. Follow your oncologist's opinion. </s>