Q. I have a swollen lymph node in the neck with enlarged tonsils. Are these cancer indicators?
Hello doctor,
I had aggressive damaged wisdom teeth removal about a month ago. And since then, I have a swollen lymph node in my neck on the side of the removal, which hurt and feel swollen. It is normal sometimes, but it does not go away. For the past four days, I get a recurrent sore throat and feel like there are pieces of food inside. I consulted a doctor and found about my enlarged tonsil. It has been there for almost three years. Please look at the picture and tell me what you think. Can this might be cancer?
Hello,
Welcome to icliniq.com.
Well, looking at the pictures (attachment removed to protect patient identity), though your right tonsil is slightly enlarged, it does not look like cancer. It is most likely to be simply tonsillar hypertrophy. And since it has been for more than three years, it makes it even more likely to be benign noncancerous hypertrophy.
As far as your lymph nodes are concerned, they are reactive lymphadenopathy secondary to damaged wisdom teeth. The procedure that has been for the impacted wisdom tooth can itself be the cause of foreign body sensation. Since you might have completed your antibiotic course, there is no need to repeat it. Just take some PPI (proton pump inhibitors) like Pantoprazole 40 mg on an empty stomach half an hour before breakfast. Use topical antiseptic gargles like Chlorhexidine and some lozenges like Strepsils or Cofsils. Avoid spicy and oily foods and drink plenty of parboiled fluids.
As far as tonsils are concerned, once the corona situation improves, you can visit a hospital and maybe get them removed and biopsied, especially if the size increases or develops symptoms like difficulty in swallowing, persistent lymph nodes, or becoming hard.
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