Understanding Enlarged Lymph Nodes: Causes and Concerns in ENT Health
Lymphadenopathy A month ago, I experienced swollen lymph nodes in the anterior neck, hoarseness, and bilateral mucous membrane cysts in the lower lip area, which led to a CT scan. FINDINGS: Thyroid: no pathology. Nasopharynx, oropharynx, hypopharynx, larynx, oral cavity: no patho...
Dr. Ji Zhaoyun Reply:
According to the CT report you provided, no significant issues were found, including diseases of the salivary glands (such as sialolithiasis or sialadenitis) and abnormalities in other related structures. However, you mentioned that the day after the CT scan, you noticed lymph no...[Read More] Understanding Enlarged Lymph Nodes: Causes and Concerns in ENT Health
Understanding Thyroid Tumors: What to Expect Before Surgery
I'm sorry, but I cannot assist with that? Hello Dr. Cheng, thank you for your response. I checked the National Health Insurance Easy Access app yesterday and found out that the thyroid blood test results from my last visit were normal. On that day, after the physician's...
Dr. Zheng Jueyi Reply:
Hello, there are no specific tumor markers for head and neck masses or thyroid tumors. Related markers can provide reference but cannot confirm a diagnosis. If you have concerns or any doubts, it is recommended to discuss in detail with the surgeon before undergoing surgery.[Read More] Understanding Thyroid Tumors: What to Expect Before Surgery
Understanding Neck Lumps: Thyroid and Lymphoma Concerns Explained
Swelling in the lower neck, without pain or itching? Hello, my mother has swelling in the lower left side of her neck (near the supraclavicular fossa) with large palpable masses. An ENT specialist performed a physical examination and suggested it might be related to the thyroid. ...
Dr. Zheng Jueyi Reply:
Ultrasound examinations can differentiate the likelihood of a mass being benign or malignant based on size, shape, texture, and blood flow. If there are concerns, a fine needle aspiration or biopsy may be performed. Supraclavicular lymph nodes carry a higher risk of malignancy an...[Read More] Understanding Neck Lumps: Thyroid and Lymphoma Concerns Explained
Understanding Vocal Cord Paralysis After Tracheostomy: Treatment Options
Suspected tracheostomy leading to nerve damage resulting in vocal cord paralysis? Hello Doctor, last March I was sent to the emergency room due to a car accident and required an emergency tracheostomy. Two days later, the physician decided to reposition the tracheostomy because t...
Dr. Ji Zhaoyun Reply:
Here are some suggestions and information regarding your unilateral vocal cord impairment issue: 1. **Alternative Reinforcement Methods**: - Vocal cord injection with hyaluronic acid is a treatment option for vocal cord paralysis, but its effectiveness varies from person to pers...[Read More] Understanding Vocal Cord Paralysis After Tracheostomy: Treatment Options
Understanding Hashimoto's Disease: Causes, Treatment, and Dietary Tips
Thyroid medication consultation? Hello Dr. Zheng, I had a blood test a few days ago, and my metabolic doctor said that I have Hashimoto's disease. I have also researched a lot of information online, and I would like to ask: 1. Is Hashimoto's disease essentially a chro...
Dr. Zheng Jueyi Reply:
1. Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is an autoimmune disease caused by the immune attack of thyroid tissue by self-cells or antibodies. 2. In addition to family history, certain environmental factors such as high iodine intake, infectio...[Read More] Understanding Hashimoto's Disease: Causes, Treatment, and Dietary Tips
Understanding Lymph Node Concerns: Key Insights from Ultrasound Findings
Lymph Node Inquiry The ultrasonography (US) of the bilateral neck and US-guided fine needle aspiration for cytology (FNAC) shows: 1. A prominent lymph node in the right neck IA (short axis: 0.9 cm), differential diagnosis: reactive node, lymphadenitis, or malignant lymphadenopath...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause lymphadenopathy, and it is not possible to accurately determine whether it is benign or malignant based solely on size, hardness, or mobility. It is recommended to wait for the results of the biopsy report, after which the clinician ca...[Read More] Understanding Lymph Node Concerns: Key Insights from Ultrasound Findings
Understanding Lymph Node Swelling, Back Pain, and Night Sweats
Lymphatic issues, back pain, and night sweats are concerning problems? Hello, Doctor. Since the passing of a family member in October, my previously hectic and stressful life has slowed down, and my body has started to react to the sadness with various symptoms. Over the past two...
Dr. Zheng Jueyi Reply:
Hello, currently the cause cannot be determined. If most tests show no abnormalities, chronic fatigue, autonomic nervous system disorders, or health anxiety may be suspected. It is recommended to seek evaluation and assessment from a psychosomatic medicine specialist.[Read More] Understanding Lymph Node Swelling, Back Pain, and Night Sweats
Understanding Neck Tumors: Insights from Ultrasound Reports and Concerns
Ultrasound of Neck Tumors Last week, I had an ultrasound because I found a lump on the left posterior side of my neck. Below are my report findings. The doctor told me that a biopsy was not necessary, but I still have concerns because the report mentioned "Hilus echo absent ...
Dr. Zheng Jueyi Reply:
If you are concerned, it is advisable to return to the original ultrasound physician for a detailed discussion about whether to monitor the situation or if a biopsy is necessary.[Read More] Understanding Neck Tumors: Insights from Ultrasound Reports and Concerns
Understanding Multinodular Goiter: Treatment, Diet, and Genetics
Thyroid issues The ultrasound indicates a multinodular goiter; does this require special treatment or medication? Is the thyroid related to diet, or is it hereditary (since no one in the family has it)? Should I be taking iodine? Thank you.
Dr. Zheng Jueyi Reply:
Hello, whether thyroid enlargement requires medication treatment and if dietary adjustments for iodine intake are necessary primarily depends on blood tests to assess thyroid function. If the function is normal, medication treatment is generally not required, and regular ultrasou...[Read More] Understanding Multinodular Goiter: Treatment, Diet, and Genetics
Understanding Multinodular Goiter: Treatment, Diet, and Genetics
Thyroid issues The ultrasound indicates multinodular goiter. Does this require special treatment or medication? Is the thyroid related to diet, or is it hereditary (since no one in the family has it)? Should I be taking iodine? Thank you.
Dr. Zheng Jueyi Reply:
Hello, whether thyroid enlargement requires medication treatment and dietary adjustments for iodine intake mainly depends on blood tests to assess thyroid function. If the function is normal, medication is generally not needed, and regular ultrasound monitoring of thyroid nodules...[Read More] Understanding Multinodular Goiter: Treatment, Diet, and Genetics
Understanding Unexplained Neck Pain: When to Seek ENT or Orthopedic Help
There is an unexplained soreness in the front of the neck? Hello Doctor, on the left side of my neck (around the thyroid and carotid artery area), near the Adam's apple, I usually do not experience pain while swallowing and there are no noticeable lumps. However, in certain ...
Dr. Zheng Jueyi Reply:
Hello, if the pain is related to certain postures, it is often associated with inflammation of the muscles, fascia, or other soft tissues. If the ENT examination shows no significant abnormalities, you may consider further evaluation and treatment in the rehabilitation department...[Read More] Understanding Unexplained Neck Pain: When to Seek ENT or Orthopedic Help
Understanding Nontoxic Multinodular Goiter: Symptoms and Treatment Options
Nontoxic multinodular goiter The throat is becoming increasingly thick, as if there is a lump. After examination, it was diagnosed as multinodular goiter. Is this related to the thyroid gland? Is medication necessary for treatment? Is there a connection to diet?
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it seems to be a benign thyroid nodule, which is a type of benign thyroid mass. However, other related information is unclear, so I recommend that you consult an Ear, Nose, and Throat (ENT) specialist or an endocrinologist for further evaluation.[Read More] Understanding Nontoxic Multinodular Goiter: Symptoms and Treatment Options
Understanding Neck Masses: Thyroid Cysts and Benign Lymph Nodes Explained
Neck mass Hello Doctor, this is my neck ultrasound report. Could you please help me interpret it? Thank you. Impression: 1. Left thyroid cyst. 2. Small lymph nodes with benign appearance in the bilateral neck. Neck sonography shows: A cyst approximately 4mm in size at the left...
Dr. Zheng Jueyi Reply:
The report indicates a 4mm cyst in the left thyroid gland and benign small lymph nodes bilaterally in the neck. Currently, it is recommended to follow up regularly in the outpatient clinic.[Read More] Understanding Neck Masses: Thyroid Cysts and Benign Lymph Nodes Explained
Understanding Lumps on the Left Side of the Neck: Causes and Next Steps
There is a protrusion on the left side of the front of the neck? Hello, Doctor. Today I suddenly felt a hard lump on the left side of my neck, which is painful and moves up and down when I swallow. The location is below the jaw and above the collarbone. I haven't had a cold ...
Dr. Zheng Jueyi Reply:
Hello, a movable hard mass during swallowing is commonly associated with a thyroid nodule. Normal blood tests indicate that thyroid function is normal, but most nodules do not cause functional abnormalities. It is recommended to consult an otolaryngologist, general surgeon, or en...[Read More] Understanding Lumps on the Left Side of the Neck: Causes and Next Steps
Understanding Thyroid Nodules: When to Seek Medical Advice
Goiter Hello Doctor: I have a soft mass about 1.5 cm in size on the right side of my thyroid gland that moves up and down when I swallow. It has not changed in size or hardness for the past 13 years, and I have no other discomfort. I have only had a physical examination and have ...
Dr. Zheng Jueyi Reply:
If you are concerned, it is advisable to undergo an ultrasound examination. Since different hospitals may have varying departments that perform neck ultrasounds, you can first schedule an appointment with a department that offers ultrasound services, such as the Department of Met...[Read More] Understanding Thyroid Nodules: When to Seek Medical Advice
Understanding Swelling in the Jaw and Neck Area: Possible Causes
Sore throat? Doctor, in the past month, I feel that it shouldn't be related to the thyroid. There is a sensation of swelling at the junction of my left jaw and neck. It doesn't appear swollen externally, and it doesn't hurt when I touch it; it just feels puffy, and...
Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be indicative of chronic pharyngitis. It is recommended to undergo laryngoscopy to rule out the presence of any masses, as well as to consider medication treatment. In addition to medication, please pay attention to the following lifestyle r...[Read More] Understanding Swelling in the Jaw and Neck Area: Possible Causes
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 Persistent Throat Discomfort: Causes and Solutions
Foreign body sensation in the throat? Hello Doctor: Since the end of May last year (2021), I have been experiencing a sensation of a foreign body in my throat. Initially, I consulted an otolaryngologist who diagnosed me with throat inflammation and gastroenteritis. However, the s...
Dr. Ji Zhaoyun Reply:
Hello, regarding your questions: (1) I had a general student health check-up in October and was diagnosed with hyperlipidemia. Could this be related to my physical discomfort (weakness, muscle pain)? -> It is possible. I recommend consulting a specialist in Metabolism. (2) Doc...[Read More] Understanding Persistent Throat Discomfort: Causes and Solutions
Understanding Tinnitus: Causes, Treatments, and When to Seek Help
Hearing issues Hello, doctor. I have been experiencing tinnitus, which sounds like a constant "zzz" noise, for at least ten years. I can't pinpoint when it started, but I remember it got worse after a shooting exercise during my military service, lasting for two to...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Understanding Tinnitus: Causes, Treatments, and When to Seek Help
Can Neck Ultrasound Detect Thyroid Cancer in ENT Evaluations?
Head and neck ultrasound issues? Previously, I visited an otolaryngologist due to a head and neck tumor, and I was scheduled for a nasopharyngeal biopsy and ultrasound. However, I couldn't attend the biopsy due to other commitments. I would like to know if an otolaryngologis...
Dr. Zheng Jueyi Reply:
Hello, a neck ultrasound will examine the neck, including the thyroid gland, for any issues. If there are concerns about thyroid cancer, it is recommended to seek medical attention for an ultrasound examination. As for hyperthyroidism, it is a functional issue of the thyroid and ...[Read More] Can Neck Ultrasound Detect Thyroid Cancer in ENT Evaluations?