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What Causes A Lump On The Jaw Bone?

Posted on Mon, 3 Apr 2017

Question: Hi! I am 40 years, female from sweden. Never smoked but my parents did and i lived my first 19 years in that home. Drink very little alcohol, not a sip the last three years. I have many health problems; hypothyrodism, hashimoto, psoriasis. Now I have problems in My throat and i am so scared that it is cancer. First I have a white mucous membrane in My throat, under the tonsill on left side. It has bloodveins in it. Then I have lumps on what I think is anterior tonsillar pillar. The flap behind the last tooth and the tonsills. The right side is even and looks normal But the left side is full of little lumps and dosent look well. I have pain on that side, hurts when I swallow and I constantly Feel like i have something there. It enoise me. I also Feel i Tiny lump in My jaw angle on that side. I have had these problems Now for at least two months and IT only gets worse. I cant sleep because i am so scared that IT is cancer. Any advise?

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello and welcome

I appreciate your concern,

Based on your description, it's unlikely to be a cancerous lesion. However, to ease your mind, an ENT consultation would be required. The throat needs to be examined for a possible infection. If present, then a throat swab for culture sensitivity testing should be done and antibiotics can be advised accordingly.

Lymphadenopathy is commonly associated with infections of the throat and pharynx.

Let me know if you have any further queries.

Wishing you the best of health

Thanks

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

I been to a doctor and he couldnt explain what the white in My throat was. White blood cell count was normal and No bloodtest showed infection. But No swaptest from the throat has been Done.

IF IT is an infection, how CAN IT Go on for so long?

What is the lumps? CAN IT be normal?

Answered by Dr. Dr. Muhammad Sareer Khalil (9 hours later)

Brief Answer:
Biopsy would be needed to exclude malignancy if no other cause is found

Detailed Answer:
Hello again

Infections (both viral and bacterial) and inflammation can become chronic, hence persisting for such a long duration.

The lumps as explained earlier are the reactive lymph nodes/ lymphadenopathy associated with the inflammation response.

No, it's not normal and further investigation such as an excisional lymph node biopsy should be done if the response to antibiotics and treatment is not fruitful.

Thanks

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Hi again!
First you Said that IT was unlikely that IT is cancer But in your last answer i read that IT could be. I have posted pictures in a forum in sweden. Maybe you CAN go in there and look. IT is many pictures.

My doctor didnt say anything about the lumps in My mouth and i did not mention them because i Feel scared. But he looked in My mouth. IF IT is cancer, wouldnt he noticed that?

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

I viewed the images you sent.

The clinical impression based on your history and description doesn't point to a malignancy. So an infectious cause should be looked for and treated. If the treatment is not successful then a biopsy can be advised to rule out any other cause including malignancy.

No, a doctor can not diagnose cancer with confirmation by simply examining the oral cavity. Histopathology based diagnosis is required.

Thanks.

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. Chakravarthy Mazumdar