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What does a soft flesh like lesion in throat indicate? - Online Doctor Chats

Date : 25-Apr-2014
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Hi i have a soft flesh like lesion on the right side of my throat just next to the right side arch in my mouth. I have been to the doctor. Blood tests are all clear but he has no idea what it is.
Doctor:
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:Since when have you noticed it?
User:I went to the doctor 2 weeks ago with another sinus infection and I constantly have a sore throat but only on the right side
Doctor:Sore throat has number of causes, but I am slightly concerned about the fleshy lesion that you described.
Doctor:Did the doctor confirm its presence?
Doctor:If yes, can you describe how big is it?
Doctor:Does it appear irregular?
Doctor:Does it bleed?
User:Yes he tried to touch it make it just made me gagg! I had bronicle pnuemonia about 2 years ago and feel i have never really gotten over it. I also have a dull ache in my right ear
User:No it doesnt bleed, its about 1 cm in size, its the same colour as the rest of my throat but it looks something like a blister?
Doctor:Ok
Doctor:Let me brief you.
Doctor:As I mentioned earlier, sore throat has plenty of reasons.
Doctor:Since you report this issue only on the right side with a mass behind the arch (uvula) with right ear pain
Doctor:I feel there is something going on in your right tonsils.
Doctor:probably a chronic tonsilitis or an ulcer on the right tonsil secondary to a chronic condition.
Doctor:Without a physical examination, those blood test results is of little significance to me.
Doctor:If will recommend that you consult a specialist (ENT) surgeon who can look into your tonsils closely.
Doctor:It it is indeed enlarged, it would be a good option to get it removed.
Doctor:It can be studied under the microscopy to plan the next steps of management.
User:I have had my tonsils removed. Its actually on the right side of the uvula and the doctor said its not an ulcer
Doctor:If you had the tonsils removed, then the paratonsilar regions including uvula and posterior pharyngeal wall needs to be studied closely.
Doctor:Did the doctor look at it with an endoscope?
User:No he didnt. All he said was that it looks like a soft fleshy lesion which is a good sign for it not being cancerous?
Doctor:Cancerous conditions present with irregular mass and bleeding. I agree with your doctor it isn't cancerous. There are lymphatic collections out there which can get enlarged.
Doctor:leading to lumpy mass.
Doctor:It is most likely the effects of chronic inflammation happening out there.
Doctor:Endoscope with be an useful investigations to confirm what is happening to plan the treatment accordingly.
Doctor:The ear pain is most likely referred aches secondary to inflammation that's happening.
Doctor:It would be good option to look at it closely with an endoscope.
Doctor:Discuss with your ENT surgeon.
Doctor:* please excuse the typo errors
Doctor:I meant, there is some chronic inflammation happening around there
Doctor:which can cause enlargement of lymph nodes.
Doctor:Perhaps the fleshy mass is the result of this inflammation.
Doctor:It can cause referred pain. Here pain gets referred to the ear.
User:Yes I have an enlarged right lymph node also, I have just finished 2 lots of antibiotics because I have constant sinus trouble.Would it be possible that it could be something to do with this?
Doctor:Yes, all these can be related.
Doctor:I would refer you to an ENT surgeon who can look at this area closely with an endoscope.
Doctor:I will plan the next steps of treatment as per the scopy results.
User:Great thanks. I was sure I had throat cancer :-(
Doctor:It doesn't look like a cancer per se. But will be great if an ENT surgeons looks at it and gives me a nod to wait and observe.
Doctor:Hope I made sense.
Doctor:Discuss with your treating doctor/
User:Thankyou so much. I will be hoping for good news. Thanks again
Doctor:Welcome.
Doctor:Thanks for visiting me here. Bye for now.
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