Growth Near Tonsils: What You Need to Know - Otolaryngology

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A lump near the tonsils (see attached image)?


Hello Doctor, I have noticed a growth near my tonsils over the past few days, as shown in the image: https://imgur.com/a/tZB30q2.
A few days ago, I had a cold and consulted a doctor, during which I mentioned this area.
The doctor informed me that it should just be the tonsil.
However, since it is in a less noticeable location, I didn't take a photo to show the doctor at that time, and I'm unsure if the doctor saw the growth I mentioned.
I'm a bit worried and would like to inquire about what this could be.
Thank you.

Ming, 20~29 year old female. Ask Date: 2023/10/07

Dr. Zheng Jueyi reply Otolaryngology


Hello, it initially appears to be lymphoid tissue of the tonsils.
If you have concerns or notice any persistent changes, it is advisable to consult an otolaryngologist for further evaluation.

Reply Date: 2023/10/07

More Info


When it comes to growth near the tonsils, particularly when you notice a lump or growth in that area, it’s essential to understand the anatomy and potential conditions that could be involved. The tonsils are lymphoid tissues located at the back of the throat, and they play a role in the immune system by helping to fight infections. However, they can also be sites for various growths or abnormalities.

Based on your description and the image you provided, it’s possible that what you are observing is a normal variation of the tonsils, especially if you have recently had a cold or throat infection. During infections, the tonsils can become enlarged or inflamed, leading to what might appear as a lump. This is often referred to as tonsillitis, which is an inflammation of the tonsils typically caused by viral or bacterial infections.

However, there are other possibilities to consider. Here are a few common conditions that could cause growths near the tonsils:
1. Tonsillar Hypertrophy: This is a condition where the tonsils become enlarged due to chronic inflammation or infection. Enlarged tonsils can sometimes obstruct breathing or swallowing, and they may appear as lumps.

2. Tonsillar Stones (Tonsilloliths): These are calcified debris that can form in the crevices of the tonsils. They can sometimes cause discomfort and may be visible as white or yellowish lumps.

3. Cysts or Abscesses: In some cases, a cyst (a fluid-filled sac) or an abscess (a collection of pus) can form near the tonsils, often as a result of infection. These can be painful and may require medical intervention.

4. Lymphoid Hyperplasia: This is a benign condition where lymphoid tissue, including that in the tonsils, becomes enlarged due to immune response, often in reaction to infections.

5. Tumors: While less common, both benign and malignant tumors can occur in the tonsillar region. If a growth persists, changes in size, or is associated with other symptoms (such as difficulty swallowing, persistent pain, or changes in voice), further evaluation may be necessary.

Given that you have recently experienced a cold, it is likely that the growth you are observing is related to the inflammation of the tonsils. However, it’s crucial to monitor the situation. If the growth does not resolve after your cold has cleared, or if you experience additional symptoms such as pain, difficulty swallowing, or persistent fever, you should follow up with your healthcare provider. They may recommend a physical examination, and possibly imaging studies or a referral to an ENT specialist for further evaluation.

In the meantime, maintaining good hydration, practicing good oral hygiene, and avoiding irritants such as smoke can help support your throat health. If you have any concerns or if the lump changes in appearance or size, do not hesitate to seek medical advice. Your health and peace of mind are important, and it’s always better to err on the side of caution when it comes to unusual growths or changes in your body.

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