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Doctor insights on: Tonsil Biopsy Procedure

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What is the purpose of a tonsil biopsy?

What is the purpose of a tonsil biopsy?

Biopsy: To check for tumor, i.e. carcinoma, lymphoma or suspicious lesion ...Read more

Dr. Jan Lei Iwata
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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Can you have a biopsy of a lesion on a tonsil without removing tonsil?

Can you have a biopsy of a lesion on a tonsil without  removing tonsil?

Yes: You could, but bleeding would be more difficult to control than it would be if the whole tonsil were removed. Removing the tonsil would not affect your health. ...Read more

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Tonsil out,biopsy,abundant Actinomyces colonies,still have post drip nasal, can this be caused by Actinomyces?What kind of test is there to find out?

Tonsil out,biopsy,abundant Actinomyces colonies,still have post drip nasal, can this be caused by Actinomyces?What kind of test is there to find out?

It's not: Actinomyces colonies are fairly common in tonsils whether or not they need to come out. Actinomyces is usually harmless but when it gets deep into tissues, it evokes abundant pus. It's not going to cause the edema and mild inflammatory of the upper respiratory tract that produces the drip. ...Read more

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Recently took an MRI and they found a 8mm round structure on the inferior aspect of left palatine tonsil, should this be biopsied

Recently took an MRI and they found a 8mm round structure on the inferior aspect of left palatine tonsil, should this be biopsied

It depends: If there is a solid mass in the tonsil, a biopsy may be indicated. However, cysts can occur and are typically benign. It would be best to consult an ent. ...Read more

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Tonsil lumps on tonsil for two years been to 3 doctors have an appointment in a month for biopsy but lumps have spread to tongue could it be to late?

Sorry: Impossible to render a diagnosis without an examination. I would try to see if i could get the appointment sooner. Hope this helps. ...Read more

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Small round hard bump, white underneath flesh on tonsIl.Just appeared one day. Can a ENT biopsy this? Maybe scan? Hasn't got bigger. Scared :(

Small round hard bump, white underneath flesh on tonsIl.Just appeared one day. Can a ENT biopsy this? Maybe scan? Hasn't got bigger. Scared :(

Tonsillolith: This sounds like it could be a "Tonsillolith" or a "tonsil stone". These are a common and completely benign. You can often see the white top of the "stone" but the base fills a tonsil crypt and can be difficult to remove. You can try irrigating with a waterpik, or gently pushing on the base of the stone with a finger and trying to push it out. ...Read more

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A small hard bump suddenly appeared on my tonsil 2 mos ago. Slightly raised pencil eraser size in diameter. What could it b? Can ENT biopsy it? Scans?

A small hard bump suddenly appeared on my tonsil 2 mos ago. Slightly raised pencil eraser size in diameter. What could it b? Can ENT biopsy it? Scans?

Need exam: There are multiple possibilities: Lymphoid tissue, cryptic debris/tonsillolith, papilloma, abscess, and various benign or malignant neoplasia. An evaluation with an otolaryngologist (ENT) is recommended. Biopsy or CT will be dependent on examination and assessment. ...Read more

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ENT discovered an incidental neoplasm on bottom of tonsil She biopsied it. Results pending. What % are cancerous? Could Dr tell its HPV by looking?

ENT discovered an incidental neoplasm on bottom of tonsil  She biopsied it. Results pending. What % are cancerous? Could Dr tell its HPV by looking?

Not looking: Physicians need the benefit of looking at tissue under the microscope. Also viral studies including what is called PCR will help identify the virus. Hope everything goes well. ...Read more

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I am waiting for the results of my mom's biopsy of the tonsils. There was a hard spot scene by an ent's pa during examination.

I am waiting for the results of my mom's biopsy of the tonsils. There was a hard spot scene by an ent's pa during examination.

See below: I hope that you receive good news for your mom's biopsy results. I know that it is so hard to wait for news like that, but give the pathologist time to work everything up completely. The right diagnosis at the beginning is so important for treatment and outcome. Good luck. Your mom and her family are in my thoughts and prayers at this difficult time ...Read more

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Biopsy done on nodule by tonsil states "reactive lymphoid hyperplasia with focal squamous metaplasia." does that mean I have oral HPV (oral warts)?

Not necessarily: The description you provided only points to chronic inflammation without any indication of the causative factor. Hpv infection can be tested for specifically in a biopsy and you may wish to discuss that with your doctor. ...Read more

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I think I have tonsil cancer. Small lump on tonsil. Ent says watch it every 2 mos. Said it doesbt look alarming. Can this bump b removed snd biopsied?

See below: It seems like you are uncomfortable with the answer you got.Possibly poor communication?Ask your ENT doctor why s/he does not feel biopsy indicated.Call for appointment.If you are not pleased then a second opinion won't hurt.Good luck. ...Read more

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I have asymmetrical tonsils. Ent nothing to b concerned about even though he knew i was extremely worried. Why didn't he order a biopsy, or ct?

Risks: Asymmetric is in the range of normal.
One can see the tonsils pretty well.
Biopsy can bleed or cause trouble.
Ct is x-ray and shows what you can already see in this case.
Careful followup is a good choice most often. Tonsils wither in time. ...Read more

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Adult no tonsils one sided no symptoms lingual tonsil hypertrophy biopsy/pathology complicated? Best to do=ent, dentistry/oral & maxillofacial, other?

Adult no tonsils one sided no symptoms lingual tonsil hypertrophy biopsy/pathology complicated? Best to do=ent, dentistry/oral & maxillofacial, other?

Throat symptoms: I would recommend an ENT physician right away
its never good when something is on one side only
get help now. ...Read more

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ENT says the bump I just noticed a month ago in my mouth behind tonsil arch is nothing to worry about. When is a biopsy warranted?referred me toshrink

Growth: Sounds like he/she thought is was posterior pharyngeal cobble-stoning or lymphatic patches. If you're a smoker, it may be more concerning. Certainly a biopsy is warranted with growth, bleeding, persistent pain, ulceration, tobacco use. If you're concerned, get another otolaryngologist to take a look and give an independent opinion. ...Read more

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Saw ENT today for asymetrical tonsils &sore throat- after examination he doesn't feel biopsy is neccisary said it looks ok and feels ok do I trust him?

Saw ENT today for asymetrical tonsils &sore throat- after examination he doesn't feel biopsy is neccisary said it looks ok and feels ok do I trust him?

You should: The ENT dr. Went to college, than to a 4 year medical school, then did a residency in ent. I would expect him/her to be qualified to determine if the area looks serious enough to bx or not. Stay well, and if the area continues to bother you, then re-check with the ENT and bring any questions with you before you see him so all your concerns can be answered. Good luck. ...Read more

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A CT scan revealed a growth on my lingual tonsil. I'm awaiting biopsy results. What could they reveal and when will my throat feel better?

A CT scan revealed a growth on my lingual tonsil. I'm awaiting biopsy results. What could they reveal and when will my throat feel better?

Wait for reports: Lingual tonsil is located back part of tongue, it has not only squamus epithelium , lymphatic tissue . All inflammatory changes seen on lymph nodes will also be seen it then will be benign reaction, how ever squamus. Cell cancer , lymphoma can also develop in lingual tonsil . Wait for for final reports good luck. ...Read more

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Mouth biopsy, I am smoker. What are chances it is bad?

Mouth biopsy, I am smoker. What are chances it is bad?

Nicotine addiction: Despite scientific knowledge of serious health detriment, addiction to nicotine remains common! if you are a smoker, and you quit nicotine, that will be the single most important thing you can do for your long term health. If your biopsy is cancerous, consider quitting nicotine. ...Read more

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I was wondering what do endoscopy (tube through mouth) biopsies show?

It depends: it depends where they were taken. during an endoscopy biopsies can be taken from esophagus, stomach and / or duodenum. ...Read more

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Mouth biopsy - sounds painful - do you end up with a little hole inside your cheek?

Mouth biopsy - sounds painful - do you end up with a little hole inside your cheek?

Perhaps: Depends on how deep the biopsy goes. However, the cheek will fill in, it will not be a permanent hole. It will heal fine. ...Read more

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Can a black spot in the upper mouth be smokers melonsis or something worse? I am a smoker. Getting biopsy sep 28 but nervous till that time.

Can a black spot in the upper mouth be smokers melonsis or something worse? I am a smoker. Getting biopsy sep 28 but nervous till that time.

Biopsy will answer: Your concern is understandable, but your doctor decided to go for biopsy since physical examination did not provide a satisfactory answer. I trust that you are trying to quit smoking, since risk of disease increases with increasing time of use of tobacco. Please keep your appointment and hope for the best. ...Read more

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Biopsy says well differentiated infiltrating scc at the angle of the mouth depth of invation is 4mm no lvi or pni found staging t2n0m0 what treatment?

Biopsy says well differentiated infiltrating scc at the angle of the mouth depth of invation is 4mm no lvi or pni found staging t2n0m0 what treatment?

See below: If you are in good health a radicl excision of this lesion is the first lien then i would depend on the surgeion, radiologist and oncologist to decide if more treatment is needed. This cancer can be cured. ...Read more

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Granuloma at the angle of mouth was operated after biopsy we found out that it was scc how should we go ahead with the treatment

Granuloma at the angle of mouth was operated after biopsy we found out that it was scc how should we go ahead with the treatment

Skin Cancer: Squamous cell carcinoma is one of the most common forms of skin cancer. The form of treatment will depend on the size, tumor type, depth, your medical history, and preference of your physician. Depending on these factors, treatment may either surgical, locally destructive (e.g. Cryotherapy), or chemotherapy with topical and/or systemic drugs. Secondary prevention by sun avoidance is imperative. ...Read more

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I have vaginal HPV that came from my husband. I now have a lesion in my mouth that needs biopsy. Is it likely I now have HPV in my mouth?

I have vaginal HPV that came from my husband. I now have a lesion in my mouth that needs biopsy. Is it likely I now have HPV in my mouth?

Possibly: HPV can certainly be located in the oral cavity (although with a much lower frequency than the genital region) and is associated with an increased risk of throat and oral cancer but it would be very unlikely to show up at your age. A swab of your mouth and throat can be sent and tested for HPV if you would like to know for sure.For more information: www.AskYourGynecologist.org ...Read more

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My dentist is having me see a oral surgen for a biopsy in a few weeks. Said that malonmia in the mouth is very slim to none. Is this true?

My dentist is having me see a oral surgen for a biopsy in a few weeks. Said that malonmia in the mouth is very slim to none. Is this true?

Yes: There is a list of entities that can cause blue pigmentation in the mouth. It is true that melanoma in the mouth is rare. It is best to see an oral surgeon who can do an exam, take a thorough history and determine if a biopsy is needed. Just for piece of mind you might decide to do the biopsy should she or he recommend it as well. Don't get worked up about it until you see the specialist. ...Read more