Patient's Query
Hi doctor,
A possible hypopharyngeal mass was discovered during a recent cervical spine MRI. For over a year, I have had difficulty swallowing. Most likely, I would like to know what the mass is. I have been waiting for an ENT appointment and will have to wait another week. What is the most likely mass? I have a history of smoking, Barrett's esophagus, and skin and cervical cancer. I have attached the images.
Please help.
Hello,
Welcome to icliniq.com.
I understand your concern. I have reviewed the reports (attachment removed to protect the patient's identity). It appears that there is a mass at the base of the tongue. However, I cannot determine the tumor's nature because the reports and the two photographs are inconclusive. The mass may be a secondary form of your esophageal lesion since you have a history of Barret's disease, cervical cancer, and skin cancer. If possible, please send me the entire continuous sections of CT scan images. You will need to take an endoscopy and biopsy to investigate the nature of the mass. Are there any swollen hard nodes in your neck? And is there any history of coughing out blood-tinged sputum?
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I am aware of no enlarged nodes in my neck, and the doctor has not mentioned any of them to me. I have coughed up blood a couple of times, but not recently. After having sinus surgery last year for an infection, I had to do nasal rinses for two months with antifungal, antibacterial, and steroid medications, which caused frequent nosebleeds. I am experiencing pain in my sinuses, throat, and chest. I was diagnosed with cervical cancer 35 years ago and vulvar cancer 15 years ago.
Hello,
Welcome back to icliniq.com.
I understand your concern. Kindly get the iCliniq's support team assistance to upload the images. It is good to know there are not any lymph nodes. However, blood-tinged sputum is one of the warning signs. As a result, an endoscopy is required following your sinus surgery. Nasal douching causes some bleeding, which is to be expected. A chest CT (computed tomography) that shows no METs (metabolic equivalent) is also a good sign.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
I will upload the scans as advised.
Hello,
Welcome back to icliniq.com.
I understand your concern. Please stay positive and do regular follow-up.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Please review the attached scan and let me know your opinion.
Hello,
Welcome back to icliniq.com.
I have reviewed the scans and noticed a mass located around the level of your post-cricoid area, which is also compressing your C4 to C5 spine. You will definitely need an endoscopic evaluation with biopsy.
Please get the endoscopy as soon as possible and keep me posted.
I hope this helps.
Thank you.
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Answered byDr. Akshay. B. K.
Medically reviewed byDr. Hemalatha
Same symptoms don't mean you have the same problem. Consult a doctor now!
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