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Suggest Ways To Rule Out Nasopharyngitis

Posted on Sat, 19 Aug 2017

Question: I saw my ENT doctor and he said the following.Nasophayngitis,chronic

Marked inflammation,with severe inflammation worse on right side.suspect lymphoid inflammatio,but cannot rule out something more significant.Biopsy is recommended.I am scared it might be cancer.Please advise.

Answered by Dr. Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Hypertrophied Adenoids most probably...

Detailed Answer:
Hi

Thanks for posting the query

I have gone through your query and understood your problem.

1. Nasopharyngitis can happen due to various reasons. Smoking, nasal allergy, acid reflux disease, recurrent sinusitis, etc.

2. The lymphoid tissue noticed in the nasopharyngeal space could be the non-regressed adenoid tissue persisting in the adulthood. This is seen in some individuals who are having chronic sinusitis or allergic rhinitis. The adenoids which have to disappear by the age of twelve persists in the adulthood, because of the sustained inflammation.

3. I honestly feel there is nothing to worry about and advise you to take a second opinion from an apt ENT specialist. Or else, if you can post the images of the nasal endoscopy done, we can help you in a better way.

Hope this answers your query; revert back to me if you have any follow up queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (56 minutes later)

I have been smoking past 15 years but not heavy every day.I cut it down heavily..All my life I have allergies and also had CT scan done in XXXXXXX one year ago and the ENT doctor said its allergy and put me on nasal spray and some allergy tablet.All my life there were multiple visits to doctors which were diagnoses as allergy rhinitis..
I have requested doctor to send images of nasal endoscopy but being saturday and sunday I doubt will get it by Monday ..

Answered by Dr. Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Don't worry! I don't think it is a cancerous lesion

Detailed Answer:
Hi,

Welcome back,

Mild smoking doesn't lead to any cancerous lesion in the nasopharyngeal region and particularly in your age. As I mentioned in my earlier response it's most probably the hypertrophied adenoid tissue secondary to nasal allergy and not cancer.

If you can forward us the CT scan report (whenever possible) as well as the nasal endoscopy pictures, we can help you in a better way.

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (24 hours later)

Thanks a lot for your answer! I also had a call with my PCP and his concern is mainly of " Suspect lymphoid inflammation " .When I recall last 7-8 months I had sorethroat/sinus congestion and have seen docs for that and I was put on antibiotics .Whats your opinion having biopsy done in office against general anesthesia in a hospital.

Please let me know and I really appreciate all your help.

Thanks, XXXXXXX
YYYY@YYYY

Answered by Dr. Dr. Naveen Kumar Nanjasetty (6 hours later)

Brief Answer:
Adenoids and tonsils are part of the lymphatic chain...

Detailed Answer:
Hi XXXXXXX

Thanks for writing back

Tonsils and adenoids are the part of lymphoid chain. As I mentioned in my earlier response, the adenoids has not regressed because of nasal allergy. If it was anything dangerous, the doctors who had examined you earlier would have definitely suspected this.

Honestly, I would not advise for any biopsy. I can confirm the same after I see the images of the nasal endoscopy. You can also take a second opinion and get the endoscopy repeated.

Hope this clears your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (7 hours later)

Hello Sir,

Please see the attached CT Scan reports.Do these reports tell about Sinus or throat?I dont know.Please let me know your opinion.

Thanks, XXXXXXX

Answered by Dr. Dr. Naveen Kumar Nanjasetty (23 minutes later)

Brief Answer:
CTscan of the paranasal sinuses is almost normal...

Detailed Answer:
Hi XXXXXXX

Welcome back

Do not worry! Your CT Scan of the paranasal sinuses is almost normal and doesn't mention about anything significant in the nasopharyngeal region. The CT scan done is of a very high quality wherein it takes less than a millimetre slices and it's difficult to miss even tiny malignant lesions.

If you see the report/prescription of the doctor in the first image, the doctor does mention about the Grade 2 hypertrophy of the adenoids. As I mentioned in my earlier responses it's only a hypertrophied adenoid tissue and not cancer.

If you are in XXXXXXX at present, you can meet Dr. E. C. XXXXXXX Kumar who works at Apollo Hospital, for a second opinion.

You can remove all the doubts from your mind and relax.

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. Vaishalee Punj