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Right side of tonsil and ear problem
Hey
My right side of tonsil is bigger than left side from last 2 years and also right side of ear external canal is swelled without any pain but sometimes itching and tightness and now from last 2 days I got a red blood type little spot on my right side of tonsil plss check is it is cancerous or non cancerous (benign ).
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Hi, I am Dr. Atul Kumar Nimawat MS ENT.
Based on the image and the history you’ve provided, here are the possibilities and observations
Asymmetrical Tonsillar Enlargement (Right > Left):
Asymmetry in tonsil size persisting for more than a year should always be examined carefully. Though commonly due to chronic tonsillitis or lymphoid hyperplasia, persistent asymmetry without recurrent infections raises the need to rule out neoplastic (cancerous or pre-cancerous) changes.
Possibility of Malignancy:
Given the chronicity, unilateral tonsillar hypertrophy, and now a new red spot, it is advisable not to ignore the possibility of early oropharyngeal carcinoma, especially if there are any risk factors like tobacco use, alcohol, or HPV exposure.
However, it’s important to remember that benign causes like fibrous tonsillar hyperplasia, chronic follicular tonsillitis, or even tonsilloliths can present similarly.
Next Steps
ENT Clinical Evaluation: A direct oropharyngeal and otoscopic examination is essential.
Nasopharyngoscopy / Flexible Laryngoscopy: To assess deeper tissues and confirm the absence of hidden masses or mucosal changes.
FNAC or Biopsy (if needed): If there’s any suspicious mass or persistent lesion, a fine needle aspiration or punch biopsy may be needed.
Imaging: A neck ultrasound or contrast-enhanced CT scan might be advised for better anatomical assessment.
Health Tips
Avoid scratching or probing the ear canal.
Maintain oral and ear hygiene.
Avoid irritants (tobacco, alcohol, etc.) if applicable.
Answered
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