Tonsil Concerns: When to Seek Further Medical Advice - Otolaryngology

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Throat issues


Hello Doctor, I previously asked you about my condition.
Six years ago, I felt a small, slightly hard mass in my left tonsil, but I didn't pay much attention to it.
A year ago, I visited your hospital and had a CT scan with Dr.
Shi.
He said it didn't look like a tumor and there were no stones, suggesting it was likely hyperplastic scar tissue and didn't require treatment.
Later, I sought your opinion, and you reassured me that I could be at ease.
You mentioned that if I was still concerned, I could check in with a clinic after six months to a year.
Now, it has been about a year since my examination with Dr.
Shi, and my tonsils appear the same as before (in fact, they have looked the same for the past six years, but since it has been so long, I only remember feeling the mass six years ago; I have forgotten how it felt.
However, I have checked myself over the past two years, and my impressions have remained consistent).
Dr.
Shi previously mentioned that if it were a malignant tumor, it would grow larger within six months.
An ENT doctor at the clinic also said the same.
So, Dr.
Zheng, can I temporarily feel reassured? If I still have concerns, would it be sufficient to have my tonsils checked by the clinic doctor during a cold or after six months to a year? Thank you, Doctor.

A Kai, 30~39 year old female. Ask Date: 2018/11/16

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there are no obvious bowel movements or painful ulcers, it is recommended to self-monitor as before, or to consult with a clinic doctor for a special examination during a cold, either in six months or a year.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/11/16

More Info


When it comes to concerns about your tonsils, especially regarding the presence of a hard mass that you have been monitoring for several years, it is understandable to feel anxious. Based on your previous evaluations and the reassurances provided by your healthcare providers, it seems that you have taken the right steps in seeking medical advice.
From what you've described, you had a hard mass in your left tonsil that was evaluated by Dr. Shi, who performed a CT scan and concluded that it did not appear to be a tumor or a stone, but rather likely scar tissue from previous inflammation or infection. This is a reassuring finding, as many people can have benign changes in their tonsils that do not require intervention.
The fact that the mass has remained stable over the years is also a positive sign. As Dr. Shi mentioned, malignant tumors typically grow and change over time, so the stability of your condition is encouraging. It is also important to note that the absence of other concerning symptoms, such as significant pain, difficulty swallowing, or changes in your voice, further supports the notion that this is not a serious issue.

However, it is completely normal to have lingering concerns, especially when it comes to your health. If you are still feeling anxious about the mass, it would be reasonable to schedule a follow-up appointment with your ENT specialist. Regular check-ups can provide peace of mind and allow for ongoing monitoring of any changes. You could consider returning for an evaluation in six months to a year, or sooner if you notice any new symptoms or changes in your condition.

In addition, if you experience any acute symptoms such as a sore throat, fever, or difficulty swallowing, it would be wise to seek medical attention promptly. These could indicate an infection or other condition that may need to be addressed.

In summary, based on your history and the evaluations you've received, it seems that you can feel reassured about your tonsil condition for now. However, maintaining regular check-ups and being vigilant about any changes in your health is always a good practice. If your anxiety persists, discussing these feelings with a healthcare provider can also be beneficial, as they can help you explore ways to manage your concerns effectively. Remember, your health is a priority, and staying informed and proactive is key to maintaining it.

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