I was recently at the dentist when they asked if anyone had ever told me that one of my tonsils is larger than the other. They said nothing looked wrong with it and didn't recommend me see an ent, but after looking it up online and all that pops up is cancer, I'm starting to get a little worried. I have also had a little scratch in my throat, but am not sure if it is just a cold or me noticing things that arn't there after looking at all the symptoms. I have chewed tobacco for a number of years and have only recently quit. How worried should I be?
It is very important to know how much bigger one of the tonsils is than the other one.
Tonsil cancer might be presented with a persistent sore throat, difficulty chewing, or swallowing. The tonsil might increase its size and be identified as a lump in the neck. If it grows sufficiently, it might put pressure on the surrounding tissues and organs, producing pain (ear pain for example). When the tonsil cancer starts to degrade, a sore in the back of the mouth that will not heal, or blood in the saliva and bad breath might be present.
The diagnosis is either confirmed or ruled out with a physical examination of the mouth cavity and the throat preferably by an Ear, Nose, and Throat specialist. It is likely that blood tests and imaging methods (X-rays, CT-scan, MRI) might be needed. A fine needle aspiration biopsy (FNA) is a method in which the cells are aspirated through a thin needle placed in the mouth for further microscopic examination. The results from the biopsy would determine the true nature of the tonsil tumor. Depending on the stage of the tumor, surgery, radiation and chemotherapy might be needed.
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