A 51-year-old female asked:
13 yr old son has1.5cm lymph node on his l neck and an enlarged l tonsil. wbc is normal / no symptoms. abt no help. ent wants to remove node & tonsils
3 doctor answers
Dr. Oscar Novick answered
57 years experience Pediatrics
Tonsils: Enlarged tonsils arent necessarily an indication to take tonsils out. If you child is not snoring, has sleep apnea , mouth breather or frequent strep jnfection it may not be necessary. The node is no doubt due to possible tonsillar infection. I would seek a second opinion from a pediatric ENT specialist.
Answered on Apr 24, 2016
Dr. Dale Tylor answered
18 years experience Pediatric ENT and Head and Neck Surgery
Could be reasonable: If only one tonsil is enlarged, it can be a concerning situation for a problem like lymphoma, especially with a lymph node on the same side of the neck. It could be fine as well. That is why they have recommended that course of treatment. Lymphoma can be missed with a needle biopsy. Another option is tonsillectomy first and neck biopsy if the tonsils are clear, but that would be 2 anesthetics.
Answered on Jan 27, 2015
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