Understanding Lymph Node Enlargement: When to Seek Medical Advice
Lymphadenopathy Hello, doctor. I am the one who inquired about the lymph nodes related to salivary gland cancer today. So, these two lymph nodes should be classified as benign from a medical standpoint, and I should continue to monitor them, right? However, I had a follow-up appo...
Dr. Zheng Jueyi Reply:
Hello, generally, no significant changes are mostly benign findings. If the original physician recommends a follow-up in three months, please follow their advice and schedule a regular follow-up in three months. If there are any changes in the meantime, return for an earlier cons...[Read More] Understanding Lymph Node Enlargement: When to Seek Medical Advice
Understanding Enlarged Lymph Nodes After Salivary Gland Cancer Surgery
Enlargement of cervical lymph nodes? Hello, I have been diagnosed with salivary gland cancer. I discovered a malignant tumor in my parotid gland last August and underwent a parotidectomy in November. During the lymph node surgery, three lymph nodes were examined, and one was foun...
Dr. Zheng Jueyi Reply:
Hello, if there are no significant changes in the size or number of lymph nodes, observation may be appropriate. However, due to the previous diagnosis of malignant parotid gland tumor with lymphatic metastasis, it is recommended to have regular follow-up visits at least once a m...[Read More] Understanding Enlarged Lymph Nodes After Salivary Gland Cancer Surgery
Understanding Salivary Gland Issues: When to Seek a Second Opinion
Salivary gland issues Hello Dr. Cheng, I have felt a small lump in the parotid gland area below both ears (the one on the right is larger), but it is not protruding on the surface, and I can only feel it when I tilt my head back and press hard. I visited Chang Gung Memorial Hospi...
Dr. Zheng Jueyi Reply:
If you are concerned, you can seek medical attention again for a second opinion.[Read More] Understanding Salivary Gland Issues: When to Seek a Second Opinion
Understanding Salivary Gland Tumors: Benign vs. Malignant Concerns
Regarding salivary gland tumors, I kindly request the doctor to clarify? Hello Doctor, my father was diagnosed with two parotid gland tumors last week, measuring approximately four to five centimeters and two centimeters. There is no pain, the skin is intact, and chewing and swal...
Dr. Zheng Jueyi Reply:
Hello, there is no absolute relationship between facial nerve paralysis and tumors, whether benign or malignant. A large benign tumor can compress the nerve, or a malignant tumor can invade the nerve, both of which may lead to paralysis. However, if nerve paralysis occurs, due to...[Read More] Understanding Salivary Gland Tumors: Benign vs. Malignant Concerns
Understanding Salivary Gland Biopsy: Recovery and Concerns Explained
Salivary gland biopsy? Hello Doctor, I underwent a salivary gland biopsy due to a Sjögren's syndrome examination, where a small piece of tissue was taken from the inside of my lower lip for testing. After the procedure, I had two stitches, and the doctor advised me to return...
Dr. Zheng Jueyi Reply:
Hello, it is necessary to see the wound directly to make an assessment. If you are concerned about any changes, it is advisable to schedule a follow-up appointment in advance for the original surgeon to evaluate the condition of the wound.[Read More] Understanding Salivary Gland Biopsy: Recovery and Concerns Explained
Understanding Pain and Swelling in Salivary Gland Infections
Parotitis pain Hello, doctor: I have pain below my cheeks, with sharp pain in my parotid gland. There is a slight swelling in the parotid gland, and pain relievers are not effective. What should I do?
Dr. Ji Zhaoyun Reply:
It is recommended to consult an otolaryngologist to assess for any other infections or issues.[Read More] Understanding Pain and Swelling in Salivary Gland Infections
Understanding Salivary Gland Pain: When to Seek ENT Care
Parotitis pain Hello, doctor: I have pain below my cheeks, with sharp pain in the parotid gland, and there is a slight swelling in the parotid gland. Pain relievers are not effective. What should I do, and which department should I see?
Dr. Zheng Jueyi Reply:
It is recommended to visit an otolaryngologist or an infectious disease specialist for examination.[Read More] Understanding Salivary Gland Pain: When to Seek ENT Care
Outpatient Surgery for Salivary Gland Tumors: Risks and Considerations
Outpatient surgery for salivary gland tumors? Hello, Dr. Lee. I have a tumor in my neck's parotid gland. A CT scan showed no tumor, but an ultrasound indicated a mass. The doctor mentioned that it can be removed in an outpatient procedure. Are there any risks associated with...
Dr. Li Jiaxuan Reply:
The parotid gland is divided into superficial and deep lobes. Only the superficial lobe has the potential for outpatient excision. The facial nerve and blood vessels are located beneath the deep lobe, which increases the surgical risk. Wishing you safety.[Read More] Outpatient Surgery for Salivary Gland Tumors: Risks and Considerations
Understanding Ear Pain When Swallowing: Causes and Solutions
Ear pain when swallowing saliva? Hello Doctor, a few days ago I discovered a small salivary gland cyst in my mouth. It hurts when I swallow saliva. After taking the medication prescribed by the ENT doctor, it has decreased in size, but I still experience pain when swallowing sali...
Dr. Zheng Jueyi Reply:
Hello, pain is often associated with inflammation. Pain in the ear when swallowing is related to the same nerve supply. Initial treatment can involve medication, but if symptoms persist without improvement, a follow-up visit for further medical evaluation and treatment is necessa...[Read More] Understanding Ear Pain When Swallowing: Causes and Solutions
Understanding Tongue Bumps: Causes and Concerns for Your Health
There is a lump on the upper right edge of the tongue? Hello Doctor: I have a small bump on the right side of my tongue. Is this normal tissue? I'm very worried it might be a sexually transmitted infection. If it is, what should I do? Could it affect my entire oral cavity an...
Dr. Zheng Jueyi Reply:
Hello, it is common for this to be related to the taste buds or minor salivary glands on the tongue. If you are concerned or experiencing symptoms such as persistent enlargement or pain, it is advisable to consult an otolaryngologist for examination and confirmation.[Read More] Understanding Tongue Bumps: Causes and Concerns for Your Health
What Could a Painless Bump Under the Tongue Indicate?
Could you please provide more context or specify what you are referring to? A painless lump under the tongue could be a variety of things, such as a mucous cyst (ranula), a benign tumor, or a swollen salivary gland. While it is often not a cause for concern, it is advisable to co...
Dr. Li Jiaxuan Reply:
It is recommended to visit the outpatient clinic for a check-up. Wishing you good health.[Read More] What Could a Painless Bump Under the Tongue Indicate?
Sudden Growth Under Tongue: What You Need to Know
A sudden appearance of a growth resembling a polyp under the tongue? I suddenly noticed a small growth under the tongue, specifically on the sublingual papilla. It doesn't hurt, but I can feel my tongue touching it. I just discovered it today. Please have a look, thank you.
Dr. Zheng Jueyi Reply:
Hello, inflammation of the minor salivary glands is common. If you are concerned or continue to feel discomfort, it is advisable to visit an otolaryngologist for an examination.[Read More] Sudden Growth Under Tongue: What You Need to Know
Understanding Painful Bumps Near the Jaw: Possible Causes and Concerns
Near the cheeks and jawline (masseter muscle?) Hello Doctor, thank you for taking the time to address my question! About a week ago, I noticed a small movable lump near my masseter muscle (or medial pterygoid muscle? It's in the cheek area near my wisdom teeth), which was sl...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that the lymph nodes are swollen due to dental inflammation. However, it is advisable to consult an otolaryngologist if the symptoms persist.[Read More] Understanding Painful Bumps Near the Jaw: Possible Causes and Concerns
Understanding Long-Term Effects of Acute Parotitis: Symptoms and Solutions
Complications of acute parotitis? Hello, Doctor. Since 2015, I have experienced inflammation of the left parotid gland every so often, with a total of three episodes. I have eliminated fried foods from my diet and underwent a CT scan to rule out the possibility of stones. Unfortu...
Dr. Zheng Jueyi Reply:
Hello, it is common for the salivary duct to become obstructed after an infection, which can lead to swelling when there is a high demand for saliva production after eating. If there are no persistent symptoms such as redness, swelling, heat, or pain, it may not necessarily indic...[Read More] Understanding Long-Term Effects of Acute Parotitis: Symptoms and Solutions
Understanding Stensen's Duct: Concerns About Salivary Gland Openings
Stensen's duct orifice refers to the opening of the parotid duct, which is the duct that drains saliva from the parotid gland into the oral cavity. This orifice is typically located near the second upper molar I recently noticed a spot on my cheek that feels like a dent. At ...
Dr. Zheng Jueyi Reply:
Hello, slight differences in position are mostly normal. If you are concerned, you can visit an otolaryngology clinic for examination and confirmation.[Read More] Understanding Stensen's Duct: Concerns About Salivary Gland Openings
Understanding Hurthle Cell Adenoma in Salivary Glands: What You Need to Know
Regarding salivary gland tumors? Hello, doctor. I recently underwent surgery for a salivary gland tumor, and the pathology report indicated it was a Hurthle cell adenoma. The microscopic diagnosis stated that the tumor is composed of bland Hurthle cells without nuclear atypia or ...
Dr. Zheng Jueyi Reply:
Hello, pleomorphic adenomas can also occur in the parotid gland, although they are less common. The high degree of variability indicates a higher level of cellular atypia. To avoid the possibility of recurrence or malignant transformation, it is recommended to have regular follow...[Read More] Understanding Hurthle Cell Adenoma in Salivary Glands: What You Need to Know
Understanding White Bumps Under the Tongue: Causes and Concerns
White lesions on the sublingual area? Hello doctor, one day I suddenly woke up and noticed a white protrusion under my tongue. It has been three days, and there is no pain or swelling. Please see the image here: https://imgur.com/8YEgFyY. Thank you for your assistance.
Dr. Zheng Jueyi Reply:
Hello, common conditions include small salivary gland cysts, granulomas, or tumors. If they persist and do not resolve, it is recommended to seek medical evaluation from an otolaryngologist.[Read More] Understanding White Bumps Under the Tongue: Causes and Concerns
Understanding Swollen Lymph Nodes Below the Ear: When to Seek Medical Attention
Swelling under the ear? Hello Doctor, I noticed that the lymph nodes below my ear became enlarged around June of this year. They are not painful, approximately 1.5 to 2 centimeters in size, smooth and round to the touch, soft when pressed, and movable. As of now, at the end of Oc...
Dr. Zheng Jueyi Reply:
Hello, it is common to encounter salivary gland tumors or lymphadenopathy. Since the size has exceeded 1 centimeter, it is recommended to visit the ENT department at a hospital for examination.[Read More] Understanding Swollen Lymph Nodes Below the Ear: When to Seek Medical Attention
Understanding Lingual Frenulum: Is That Soft Tissue Normal?
Frenulum under the tongue? Hello Doctor: Recently, I noticed a string-like protrusion under my tongue. It feels very soft to the touch and can be moved freely, almost like a piece of skin, and it does not hurt when pressed. Is this normal? Thank you! Actual photo: https://imgur.c...
Dr. Zheng Jueyi Reply:
Hello, it is common to have normal small salivary gland protrusions. If there are symptoms or concerns about abnormalities, it is advisable to visit an otolaryngologist for examination and confirmation.[Read More] Understanding Lingual Frenulum: Is That Soft Tissue Normal?
Thick Saliva and Facial Swelling: Seeking Answers for Chronic Symptoms
Thick saliva that is difficult to expel and intermittent swelling of the cheeks? Hello, doctor. My mother is 57 years old and has heart disease. She has been on a chronic prescription for a long time and also has osteoporosis, for which she takes calcium supplements provided by t...
Dr. Li Jiaxuan Reply:
Based on your description, it is advisable to assess whether it is a salivary gland stone. When a stone completely obstructs the salivary gland, it will swell. If inflammation is treated and hydration is increased, the stone may partially dissolve, and if the salivary duct is not...[Read More] Thick Saliva and Facial Swelling: Seeking Answers for Chronic Symptoms