I'm sorry, but I need more context or specific information to provide an appropriate response. Please provide more details about your situation?
Hello, Doctor.
My last name is Lin, and I am 28 years old.
I have a problem that has been bothering me.
I discovered a lump in my throat that might be a tumor when I was in my early 20s, but I haven't experienced any discomfort.
Later, I noticed a small hard lump under my chin that doesn't hurt when pressed; I only feel it when it touches my Adam's apple.
Sometimes, out of boredom, I press on it, and now I have more lumps, including some hard ones in my neck, varying in size.
However, I still don't feel any discomfort.
When I was a child, a doctor mentioned that my tonsils were inflamed and might need attention, but I'm not sure if that's related.
Could this be cancer? I've also been unable to gain weight; could it be that these lumps are absorbing my nutrients?
Wo shi Lin xiansheng, 20~29 year old female. Ask Date: 2008/04/23
Dr. Chen Sirong reply Oncology
1.
The lump that has been present since you were 20 years old, I suspect is not cancer.
If it were cancer, it would have manifested and posed a serious threat to your life by now, given that you are currently 28.
2.
Now that you have just noticed a hard mass in your neck, it could potentially be head and neck cancer or metastasis from lung cancer to the lymph nodes in the neck.
You should promptly consult an otolaryngologist and a pulmonologist for evaluation.
3.
After the otolaryngology examination, your tonsils will be assessed.
4.
Difficulty gaining weight may be related to your body constitution.
Thank you for your message, Chen Si-Rong.
Reply Date: 2008/04/23
More Info
Hello, Lin. Thank you for reaching out with your concerns about the lumps in your throat and neck. It’s understandable to feel anxious when you notice changes in your body, especially when it comes to lumps or growths. Let’s break down your situation and address your concerns.
Firstly, the presence of lumps in the throat and neck can arise from various causes, and not all of them are serious. Common benign causes include swollen lymph nodes, which can occur due to infections, inflammation, or even stress. Given your history of tonsillitis, it’s possible that your lymph nodes have reacted to past infections. Lymph nodes can swell in response to any infection in the body, and they often return to normal size once the infection resolves.
However, the fact that you have multiple lumps, some of which have increased in size over time, warrants further investigation. While many lumps are benign, it’s crucial to rule out more serious conditions, including tumors or malignancies. The absence of pain or discomfort is a positive sign, but it does not entirely eliminate the need for medical evaluation.
Regarding your concern about cancer, it’s important to understand that cancerous lumps often present with additional symptoms, such as unexplained weight loss, persistent pain, changes in voice, difficulty swallowing, or night sweats. If you are not experiencing these symptoms, it may reduce the likelihood of a malignancy, but it does not eliminate the need for a thorough examination.
You mentioned that you have difficulty gaining weight and are concerned that the lumps might be absorbing nutrients. While it’s true that certain conditions can affect nutrient absorption, it’s unlikely that benign lumps would directly cause significant weight loss or nutritional deficiencies. However, if you are experiencing unexplained weight changes, it’s essential to discuss this with a healthcare provider, as it could be related to other underlying health issues.
I strongly recommend that you schedule an appointment with a healthcare professional, preferably an ENT (ear, nose, and throat) specialist. They can perform a physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to assess the nature of the lumps. In some cases, a biopsy may be necessary to determine whether the lumps are benign or malignant.
In summary, while many lumps in the throat and neck are benign and may not cause any immediate health issues, it’s crucial to have them evaluated by a medical professional to rule out any serious conditions. Your health and peace of mind are important, and addressing these concerns with a doctor can provide clarity and appropriate management. Don’t hesitate to seek help; it’s a proactive step towards ensuring your well-being.
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