Many people first notice A53 diffuse large B‑cell lymphoma when a lymph node in the neck, armpit, or groin becomes swollen, firm, and painless, and doesn’t go away over weeks. Others seek care for more general warning signs like unexplained fevers, drenching night sweats, unintended weight loss, or persistent fatigue, sometimes along with a feeling of fullness or discomfort in the chest or abdomen if nodes or organs there are involved. Some cases are first flagged by a routine exam or imaging done for another reason, when enlarged lymph nodes or abnormal blood counts prompt further testing.