Understanding Neck Mass: Does Aspiration Affect Tumor Size?
Concerns Regarding Fine Needle Aspiration of Neck Masses The left upper part of my neck has suddenly swollen significantly over the past two weeks. It does not hurt when pressed. I went to the ENT department for a fine needle aspiration, and over the course of a week, it graduall...
Dr. Ji Zhaoyun Reply:
Changes in neck masses can be caused by various factors. Here are some possible scenarios and explanations: ### Reasons for Decrease in Mass Size After Aspiration 1. **Reduction of Inflammatory Response**: If the mass is due to infection or inflammation, the reduction of local p...[Read More] Understanding Neck Mass: Does Aspiration Affect Tumor Size?
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 Neck Masses: When to Worry About Cancer Risks
Neck mass Hello Doctor, I recently noticed a lump in my neck that I can't determine whether it moves or not, and it doesn't hurt. I went to a large hospital for evaluation, and the doctor prescribed a 7-day course of antibiotics to see if it would resolve (suspected to ...
Dr. Ji Zhaoyun Reply:
Hello, since you have already visited the doctor in person, it is advisable to follow the physician's recommendations and complete the necessary examinations.[Read More] Understanding Neck Masses: When to Worry About Cancer Risks
Understanding Chronic Nasal and Throat Issues: Causes and Solutions
Throat and nasal issues? Hello Doctor, I have a somewhat complex issue that has been bothering me, so I would like to seek your advice. Symptoms: 1. I have persistent clear nasal discharge (not thick), and occasionally experience unexplained nasal congestion. 2. I feel like t...
Dr. Ji Zhaoyun Reply:
Hello, thank you for detailing your symptoms and concerns. Here are some possible suggestions and considerations, but please be sure to consult your specialist in person for a personalized diagnosis and treatment plan, as online consultations cannot replace an in-person examinati...[Read More] Understanding Chronic Nasal and Throat Issues: Causes and Solutions
Asymmetrical Tonsil Enlargement: What You Need to Know
Asymmetric enlargement of the tonsils? Recently, I have experienced a sensation of a foreign body when swallowing. After visiting a doctor, I discovered that my tonsils are enlarged and asymmetrical. The first doctor advised me to just monitor the situation, while the second doct...
Dr. Li Jiaxuan Reply:
Malignant tumors of the tonsils often present with bleeding and an unpleasant odor. Further imaging, such as a CT scan, can be performed to determine whether the tonsil is homogeneous or heterogeneous. If it is confirmed to be benign, observation may be appropriate. Wishing you w...[Read More] Asymmetrical Tonsil Enlargement: What You Need to Know
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 Eustachian Tube Dysfunction and Treatment Options
Questions regarding Eustachian tube treatment? Hello, Doctor! I apologize for bothering you. Recently, for the past three weeks, I've been experiencing a feeling of fullness in my ears. It’s not too noticeable when I wake up in the morning, but as the day goes on, it sometim...
Dr. Zheng Jueyi Reply:
Hello, this technique is used to assess the elasticity of the eardrum and to check for issues such as middle ear effusion. It is not recommended to attempt this on your own to avoid causing a perforation of the eardrum.[Read More] Understanding Eustachian Tube Dysfunction and Treatment Options
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 Nasopharyngeal Cancer Risks: Your Questions Answered
Nasopharyngeal carcinoma issues? Hello Doctor, I am very anxious and would like to ask a few questions. I have not had any cough, but I constantly feel like I have phlegm. I have visited several clinics, and the doctors prescribed medication for mild inflammation. After seeing th...
Dr. Zheng Jueyi Reply:
Hello, the general screening for nasopharyngeal carcinoma can refer to the EBV-VCA IgA index. A value of 0.59 is considered negative, indicating that the result is normal and the likelihood of nasopharyngeal carcinoma is low. However, a definitive diagnosis should still be based ...[Read More] Understanding Nasopharyngeal Cancer Risks: Your Questions Answered
Disappearing Tongue Coating: Antibiotics or Underlying Health Issues?
The tongue coating has disappeared? Recently, after undergoing surgery for kidney stones, I experienced a urinary tract infection and had a fever for 4 to 5 days. Urinalysis revealed that the bacteria were resistant to antibiotics. I was subsequently hospitalized for a week for a...
Dr. Ji Zhaoyun Reply:
Hello, you may have glossitis, an infection, or other lesions. It is recommended to see an otolaryngologist to rule out tumors or serious infections. Regarding the issue of tongue coating, traditional Chinese medicine also offers valuable insights and treatment options.[Read More] Disappearing Tongue Coating: Antibiotics or Underlying Health Issues?
Is Asymmetrical Tonsils Normal? Understanding Your Throat Health
Is it normal for the tonsils to be asymmetrical? Hello, doctor. Recently, while brushing my teeth and looking in the mirror, I noticed that my tonsils seem to be different sizes on each side (here is the photo link). Although I currently have no symptoms, I found online that asym...
Dr. Zheng Jueyi Reply:
Hello, initially it seems that there is not much difference. If there are no symptoms, you can observe yourself for now. If symptoms arise or if you have concerns, you may visit an otolaryngologist for examination and confirmation.[Read More] Is Asymmetrical Tonsils Normal? Understanding Your Throat Health
Understanding Nasopharyngeal Cancer Risk: Key Insights for Patients
Hello, doctor. I would like to inquire about nasopharyngeal carcinoma? Hello Doctor, I would like to ask you a question. Before the Lunar New Year, I had a cold and went to the hospital for an examination. During the process, I mentioned to the doctor that I had undergone surgery...
Dr. Ji Zhaoyun Reply:
Hello, nasopharyngeal carcinoma is a high-risk group and should not be assessed solely through blood tests. It is recommended to return to the original physician for a comprehensive evaluation and opinion.[Read More] Understanding Nasopharyngeal Cancer Risk: Key Insights for Patients
Understanding Ear, Nose, and Throat Issues: Symptoms and Causes Explained
Issues related to the throat, nose, and ears? Hello, doctor. I have a few questions: Recently, I visited a doctor because I felt that my right ear had fluid in the middle ear. The doctor diagnosed me with unilateral tonsillitis. After taking medication, I no longer felt fluid in ...
Dr. Zheng Jueyi Reply:
1. Swelling in one ear may be related to tonsillitis or inflammation of nearby lymph nodes. 2. When immunity is compromised, viral or bacterial infections can lead to unilateral nasopharyngitis. 3. Drinking too much water at once can increase gastric pressure, leading to gast...[Read More] Understanding Ear, Nose, and Throat Issues: Symptoms and Causes Explained
Understanding Neck Bumps: When to Seek Medical Attention
A lump has developed on the neck? Hello Doctor, previously I had a small bump on my neck that looked like a pimple, skin-colored, and it didn't have a head or anything to squeeze out. It has been there for a long time, but in the last few weeks, it has grown a little (less t...
Dr. Zheng Jueyi Reply:
Hello, if you have a skin tumor that is progressively enlarging or exhibiting signs of inflammation such as redness, swelling, heat, or pain, it is advisable to seek medical evaluation and treatment.[Read More] Understanding Neck Bumps: When to Seek Medical Attention
Understanding Lymph Node Swelling and Nasopharyngitis Symptoms
Is there a possibility of developing nasopharyngeal carcinoma? Hello Doctor: In December, I noticed swelling of about three lymph nodes on the right side of my neck (they are palpable, with one being larger, approximately 1.5 cm, located in the upper neck). After an ultrasound, t...
Dr. Ji Zhaoyun Reply:
Hello, 1. My lymph nodes have become larger and more numerous. Is this related to fever and infection? > Based on the description, this is a very likely cause. 2. Is thick yellow phlegm or pus in the nasopharynx really rare? I researched nasopharyngitis and found it to be q...[Read More] Understanding Lymph Node Swelling and Nasopharyngitis Symptoms
Effective Strategies to Prevent Nosebleeds and Manage Symptoms
How to prevent nasal mucosal bleeding? Hello Doctor, I have been experiencing intermittent nosebleeds since childhood, which have caused me significant distress in my daily life. The bleeding occurs repeatedly on the same side, and I have noticed that as I age, the volume of bloo...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa due to forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, aller...[Read More] Effective Strategies to Prevent Nosebleeds and Manage Symptoms
Understanding Palatine Arch Nodules: Causes and Concerns
Pharyngeal arch small granulation? Hello, Doctor. Last week while brushing my teeth and looking in the mirror, I noticed a small polyp in the area of my oropharynx. The surface is smooth, and I would like to ask the doctor what are the common clinical causes for this. Recently, I...
Dr. Ji Zhaoyun Reply:
Hello, based on the limited resolution of the provided photo, the probability of a malignant tumor is theoretically low. It is recommended to continue visiting an otolaryngologist if symptoms persist for a personal examination by a physician.[Read More] Understanding Palatine Arch Nodules: Causes and Concerns
Can Surgery Remove Tonsils for Chronic Tonsil Stones and Odor?
Can chronic and foul-smelling tonsil stones be treated with a tonsillectomy? Hello Doctor, my tonsils have been developing stones every few days since high school. A few years ago, I consulted a doctor who advised me to avoid dairy products for a while. I have also been maintaini...
Dr. Ji Zhaoyun Reply:
Hello, regarding the conditions for tonsillectomy that you mentioned, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsillitis (as you mentioned). Interna...[Read More] Can Surgery Remove Tonsils for Chronic Tonsil Stones and Odor?
Managing Recurrence of Parotid Cancer: Can Facial Nerve Be Preserved?
Salivary gland cancer recurrence? In the case of recurrent salivary gland cancer, if one side of the face is paralyzed due to tumor compression, is it necessary to completely remove the facial nerve during surgery? Is there a possibility of a surgical approach that preserves the ...
Dr. Zheng Jueyi Reply:
Hello, if a malignant tumor invades a nerve, it may be safer to completely remove the tumor by also resecting the nerve. Preserving the nerve could result in incomplete tumor removal, increasing the risk of recurrence.[Read More] Managing Recurrence of Parotid Cancer: Can Facial Nerve Be Preserved?
Managing Salivary Gland Cancer: Preserving Facial Nerve Function
Recurrent salivary gland cancer with facial paralysis? May I ask the doctor again, have you heard of the approach where they try to preserve the nerves as much as possible during surgery and then use radiation therapy for the remaining issue? If someone truly does not want to sac...
Dr. Zheng Jueyi Reply:
Hello, you can discuss with your physician, but tumor invasion of nerves or radiation therapy may compromise nerve function. Even if the nerves are preserved, it does not guarantee that they will retain their function and may increase the risk of future recurrence. If you are con...[Read More] Managing Salivary Gland Cancer: Preserving Facial Nerve Function