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Suggest Treatment For Asymmetric Lymphatic Mass In Lingula Lymph Tissue
Question: I have a assymetric lymphatic mass in the lingular lymph tissue confirmed by ent. Also right sided parotid enlargement, facial swelling, and hoarseness, fatigue, night sweats and brain fog. Surgery is oct 2nd. Should it be sooner ans what are the possibilities. I took remicade and humira since 2003.
Brief Answer:
Please mention about the surgery you are supposed to undergo...
Detailed Answer:
Hi
Thanks for posting the query. I do understand your concern, I will try my best to help you with this.
1. Lingual tonsils can be unequal in size in most of the cases and that's perfectly normal. It is considered pathological in the conditions such as base of the tongue malignancy, which is very unlikely in your case.
2. Symptoms other than this could be due to thyroid related issues or lymes disease or lymphomas (doubtful).
3. As you have not mentioned about the type of surgery you are supposed to undergo, it is very difficult for us to comment regarding the urgency of the procedure. If you could kindly revert back to us with more details about the present ailments and the name of the surgery planned, we can help you in a better way.
Awaiting for your reply...
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Please mention about the surgery you are supposed to undergo...
Detailed Answer:
Hi
Thanks for posting the query. I do understand your concern, I will try my best to help you with this.
1. Lingual tonsils can be unequal in size in most of the cases and that's perfectly normal. It is considered pathological in the conditions such as base of the tongue malignancy, which is very unlikely in your case.
2. Symptoms other than this could be due to thyroid related issues or lymes disease or lymphomas (doubtful).
3. As you have not mentioned about the type of surgery you are supposed to undergo, it is very difficult for us to comment regarding the urgency of the procedure. If you could kindly revert back to us with more details about the present ailments and the name of the surgery planned, we can help you in a better way.
Awaiting for your reply...
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Yes a complete tonsil and adenoidecfomy- however my tonsils add gome- so he is just taking the lymph mass oit
On the rifjt. I cant remember if i told u my parotid is also enlarded on the right, with swelling, intermittent facial drop and motor and cognitive decline. Neurologist did spinal and just have elevated lymphs and neuron specific enolase. Neuro was think neurro endocrine tumor? I also have symptoms that align with carcinoid- flushing, sweats, nause, anorexia, malaise, dumpimg syndrome, low mag and K from dehydration. And drenching nighg sweats. Where would u go to get best neuroendocrine work up and eval?
Also, I have been admitted for encephalopathy and have had altered speech, facial droop, tongue deviation. Fine motor symptoms and cognitive deficits- getting lost, word finding just not my old self. And doing a lot of mistakes.
I've been reading -
If t
Is a neuroendocrine tumor - can that mets to the
Brain or could this just be the lymphocytosis on csf analysis. I'm very frustrated and so very tired.
On the rifjt. I cant remember if i told u my parotid is also enlarded on the right, with swelling, intermittent facial drop and motor and cognitive decline. Neurologist did spinal and just have elevated lymphs and neuron specific enolase. Neuro was think neurro endocrine tumor? I also have symptoms that align with carcinoid- flushing, sweats, nause, anorexia, malaise, dumpimg syndrome, low mag and K from dehydration. And drenching nighg sweats. Where would u go to get best neuroendocrine work up and eval?
Also, I have been admitted for encephalopathy and have had altered speech, facial droop, tongue deviation. Fine motor symptoms and cognitive deficits- getting lost, word finding just not my old self. And doing a lot of mistakes.
I've been reading -
If t
Is a neuroendocrine tumor - can that mets to the
Brain or could this just be the lymphocytosis on csf analysis. I'm very frustrated and so very tired.
Brief Answer:
Brain metastasis can be diagnosed with MRI of the brain...
Detailed Answer:
Hi
Thanks for writing back
1. Tonsillectomy is done to rule out lymphomas. As adenoids would have already been regressed in your age, they may just take a small biopsy from the nasopharynx. After tonsillectomy you will have throat pain for a week. As the surgery is done to send the tonsils for biopsy to rule out lymphoma, you can actually wait till the 2nd of October.
2. CSF study shows inflammatory changes in the brain. It could be secondary to encephalopathy. Brain metastasis can be diagnosed with MRI of the brain.
3. Elevated neuron specific enolase is a marker of neuroendocrine tumor anywhere in the gut tissue. The best person to manage this is the medical gastro-enterologist. You can contact any of the below mentioned specialists near your place.
1. Dr. XXXXXXX M. YYYY
XXXXXXX Hospital
0000 YYYY River Rd
XXXXXXX OH 0000
2. Dr. XXXXXXX D. YYYY
YYYY Gastroenterology Group YYYY
3. Dr. XXXXXXX A. YYYY, MD
YYYY Gastroenterology Group YYYY
West Office
0000 W YYYY St Ste 000
XXXXXXX 0000
(000) 000-0000
Hope this clarifies your doubts; revert back to me if you have any follow up queries.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Brain metastasis can be diagnosed with MRI of the brain...
Detailed Answer:
Hi
Thanks for writing back
1. Tonsillectomy is done to rule out lymphomas. As adenoids would have already been regressed in your age, they may just take a small biopsy from the nasopharynx. After tonsillectomy you will have throat pain for a week. As the surgery is done to send the tonsils for biopsy to rule out lymphoma, you can actually wait till the 2nd of October.
2. CSF study shows inflammatory changes in the brain. It could be secondary to encephalopathy. Brain metastasis can be diagnosed with MRI of the brain.
3. Elevated neuron specific enolase is a marker of neuroendocrine tumor anywhere in the gut tissue. The best person to manage this is the medical gastro-enterologist. You can contact any of the below mentioned specialists near your place.
1. Dr. XXXXXXX M. YYYY
XXXXXXX Hospital
0000 YYYY River Rd
XXXXXXX OH 0000
2. Dr. XXXXXXX D. YYYY
YYYY Gastroenterology Group YYYY
3. Dr. XXXXXXX A. YYYY, MD
YYYY Gastroenterology Group YYYY
West Office
0000 W YYYY St Ste 000
XXXXXXX 0000
(000) 000-0000
Hope this clarifies your doubts; revert back to me if you have any follow up queries.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2540 Questions
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