Hello doctor,
I have a slightly asymmetrical posterior tonsil pillar on the right side. I do not have any other symptoms like pain, swelling, etc.
What could be the reason? Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. In the images (attachment removed to protect the patient’s identity), the entire tonsil and oropharynx are not visible. But, the visualized areas do not show any sinister growth or ulceration, and the uvula appears central. Tonsils can persist in about 10 to 15 percent of adults, however, when they are asymmetrical (i.e. of different sizes) there is a risk of underlying cancer. Hence, it is of utmost importance to see both tonsils together along with the whole throat and some close-up images of the tonsils individually. If you could provide these images, I would be able to make a more accurate and comprehensive diagnosis. Also, can you kindly elaborate on any other throat symptoms, any tonsil surgery in the past, and smoking or alcohol history? And any history of significant diseases or treatments including cancer.
Thank you.
Differential diagnosis:
Asymmetric tonsil- inv to rule out tonsillar cancer.
Treatment plan:
I would suggest you keep a close watch and look for any new changes in shape, size, or ulceration. Follow up with details and images.
Regarding follow-up:
I would suggest if any new changes in shape, size, or ulceration are found, follow up with further details and images.
Asymmetric tonsil- inv
To rule out Tonsillar cancer.
Keep a close watch and look for any new changes in shape, size or ulceration.
Follow up with details and images.
Keep a close watch and look for any new changes in shape, size or ulceration.
Follow up with further details and images.
Hello doctor, thank you so much for the reply.
I have added an image that has a better view of both sides.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern. Thanks for the image (attachment removed to protect the patient’s identity), I would suggest the probabilities are of tonsilolith but cancer also needs to be ruled out.
Differential diagnosis:
The probabilities are of tonsilolith but cancer needs to be ruled out.
Treatment plan:
I would suggest you maintain oral hygiene and active surveillance.
Regarding follow-up:
I would suggest you follow up with a comprehensive history for reaching a definitive diagnosis as already mentioned along with the clinical findings. There is a whitish area on the tonsil which is unfortunately not very clear and needs careful evaluation.
The probabilities are of tonsilolith but cancer needs to be ruled out.
Treatment plan:I would suggest you maintain oral hygiene and active surveillance.
Regarding follow up:I would suggest you follow up with a comprehensive history for reaching a definitive diagnosis as already mentioned along with the clinical findings. There is a whitish area on the tonsil which is unfortunately not very clear and needs careful evaluation.
How do I keep my breath fresh all day ... Breath can be kept fresh by maintaining oral hygiene ... Read full
• My tonsils are swollen and covered with white layer. What could this be?Tonsillitis can develop due to viral infections such as rhinovirus, adenovirus, respiratory syncytial virus ... Read full
• What causes swelling of tonsils?I go to the dentist every six months whom I assume checks out my tonsils ... It seems you have inflamed tonsils ... Read full
Comprehensive Medical Second Opinion.
Do constant sore throats, extreme fatigue, and swollen neck indicate tonsil cancer?
Query: Hi doctor, I have had sore throats on and off for a couple of years now. One of my tonsils is bigger than the other. I have not been feeling well lately. I get constant sore throats, extreme fatigue, headaches, swollen right side of the neck, some minor difficulty swallowing, a low-grade fever, and ... Read Full »
When Should Tonsils Be Removed in Adults?
Article Overview: Tonsils are removed in cases of sleep apnea or recurrent episodes of tonsillitis. Learn about the indications, best methods, and complications of tonsillectomy. Read Article
Introduction: Tonsillectomy is one of the most popular operations in the otorhinolaryngology field. Tonsillitis is the inflammation of oval-shaped pads of tissue situated at the back of the throat called tonsils. There are two tonsils present in the throat, one on each side. Tonsillitis is generally... Read Article
My gums are bleeding with some change in the shape. Will my gums take the original shape?
Query: Hello doctor,I have bleeding gums for a year or so, and it usually happens after I brush my teeth. I find a slight change in the shape of my gums. I have been taking extra oral care. Is there anything I could do to stop my gums from bleeding? And if the bleeding stops permanently, will my gums take ... Read Full »
Ask your health query to a doctor online?
Ask an ENT Otolaryngologist Now