I am a 39 year old female. I recently started having bouts of chest tightness on the RIGHT side leading straight up to my neck into my tonsil. No previous history of GERD. This pain is not associated with eating. It was comforting to apply pressure to my neck. I later realized my right tonsil was markedly larger vs the left. I started Prilosec just in case it was a case of reflux and waited. The tonsil remained large and started to give me a "full" feeling in my neck. Also having bouts of night sweats but not every night... Just generally hot. I start sweating with moderate activity. I went to ENT who scoped past my epiglottis and said the right tonsil appears abnormal and the epiglottis is inflamed (which could be constant with GERD). He put me on bactrim x10 days. Will get CT of head/neck on day 11 and then determine if I need tonsillectomy to biopsy the tonsil. I have no PALPABLE lymph nodes anywhere. I do smoke and have a familial history of cancer. I'm feeling kinda flu like but it could just be a cold I supposed. I'm tired but I'm a night shift worker so I live tired. My question is: IS IT POSSIBLE TO HAVE LYMPHOMA WITH UNILATERAL TONSILAR ENLARGEMENT AND NO PALPABLE NODES?? 10 days is forever right now. I just need to know so I can deal with whatever it is... Please help
Welcome to the ehealthforum and I am really glad to help you out.
Unilateral tonsillar enlargement may result from infection, chronic inflammatory response, or neoplasm. Neoplasms that commonly produce a unilaterally enlarged tonsil include lymphomas (lymphocytic and histiocytic types) and squamous cell carcinomas. It may or may not produce swollen lymph nodes in initial stage.
The diagnosis can be confirmed after a CT scan and a biopsy of the tonsils. You should go ahead with the CT scan and tonsillectomy as advised by your doctor.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.
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