asymetrical tonsil

I am a healthy 29 year non-smoking, non-drinking male. I have had swollen tonsils (left&right) for quite a long time. Approx. 2 or 3 years ago I had a bout of strep throat and noticed that my right tonsil was much larger than my left (about double). It has remained that way since approx. 2003-2004 without change.

As a child I suffered multiple ear infections in my right ear, my right ear drum has busted twice from infection and this always led to a sore throat on the "right side".

I had sinus surgery in 2002 because the right side of my sinus cavity was almost 100% blocked from polyps and swellings from repeated sinus infections I have also had since childhood.

Ever since I can remember, I have had sore throats and sinus problems, and my memory is that the most severe sore throats I have had has always been focused on the right side of my throat.

I have recently been looking on the internet and I find where asymetrical tonsils are a sign of possible lymphoma. Is it possible that this has been harboring in my tosil for the last couple years? While both tonsils are enlarged, the right is significantly worse than the left. Could this also be a result of chronis infections of sore throats?

I had a bout of bronchitis last year and my Dr. ran a complete blood panel (sed rate, ana, cbc, h&h, ......)everything normal.

I rarely get ill, except for sore throats (without fever) and allergy complications. I have had no "b" symptoms (weight loss, fatigue, fevers, sweats....) just this asymetrical tonsil that has been there for a couple years now.

Any input or suggestions appreciated.

[Kevin Pho, MD]

A referral to an ENT physician should be considered.  Asymetrical tonsils can be indicative of a peritonsillar abscess - which needs to be drained.  

Lymphoma can also be considered.  Having an ENT physician evaluate the tonsils is recommended.  If lymphoma is suspected, a biopsy can be done.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[mwondosha]

A related discussion, tumour of right tonsil was started.