White Growths on the Throat: Cysts or Tumors? - Otolaryngology

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There is a white growth on the throat wall?


Hello doctor, I have a white bump about 1mm in size on my throat wall that has been there for about a month.
It doesn't hurt.
I visited an ENT specialist who mentioned it might be a cyst.
I would like to ask what could have caused this condition, or if there is a possibility that it could be another type of tumor.
Also, I would like to know if this cyst could grow larger.
Thank you.

MJ, 20~29 year old female. Ask Date: 2023/05/01

Dr. Zheng Jueyi reply Otolaryngology


Hello, cysts are commonly caused by the blockage of the small salivary gland openings, leading to the accumulation of secretions.
They may gradually enlarge, but since most are benign, it is recommended to observe them initially.
If there are concerns, regular follow-up appointments for examination are advised.

Reply Date: 2023/05/01

More Info


When it comes to white growths in the throat, particularly on the pharyngeal wall, it is essential to consider several factors to determine the nature of the growth. Based on your description of a white lesion approximately 1mm in size that has been present for about a month without causing pain, it is reasonable to suspect that this could be a cyst or a benign growth rather than a malignant tumor.

Cysts in the throat can arise from various causes, including blocked salivary glands, infections, or developmental anomalies. They are typically fluid-filled sacs that can vary in size and may remain stable or grow slowly over time. The fact that your growth has not caused any pain is a positive sign, as many malignant tumors tend to be associated with discomfort or other symptoms such as difficulty swallowing, changes in voice, or unexplained weight loss.

However, it is crucial to differentiate between a cyst and a tumor. Tumors can be benign (non-cancerous) or malignant (cancerous). Benign tumors, such as papillomas or fibromas, can also appear as white growths and may require monitoring or removal if they grow larger or cause symptoms. Malignant tumors, on the other hand, are more concerning and typically present with additional symptoms.

In your case, since an ENT specialist has already evaluated the lesion and suggested it might be a cyst, it is likely that the growth is benign. However, it is essential to keep monitoring the lesion. Cysts can sometimes become larger if they continue to fill with fluid or if the underlying cause persists. If you notice any changes in size, color, or if new symptoms develop (such as pain, difficulty swallowing, or changes in voice), it is crucial to return to your healthcare provider for further evaluation.

In terms of management, if the cyst remains asymptomatic and stable, your doctor may recommend a watchful waiting approach. Regular follow-ups can help ensure that any changes are detected early. If the cyst grows or becomes symptomatic, options may include aspiration (draining the fluid) or surgical removal, depending on the specific characteristics of the cyst and your overall health.

In summary, while a white growth in the throat could be a cyst, it is essential to maintain regular check-ups with your healthcare provider to monitor the situation. If you have any concerns or notice changes, do not hesitate to seek further medical advice. Early detection and intervention are key to managing any potential issues effectively.

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