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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.
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: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:Thanks for visiting me here. Bye for now.
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