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Adenoidectomy

Dec 05, 2010 - 4 comments

My bloodwork and urinalysis both came back normal, so I was allowed to proceed with the adenoidectomy. I had it done on December 1st, 2010, and I'm still feeling quite sore four days later.

My ENT had initially told me my adenoids were enlarged, but following the surgery I asked how it went and he replied, "Good", then I asked how large the adenoid tissue was, and he said, "Your adenoids seem to be ok in size, but there was a mass on them." I was a little confused about that since I thought he had seen the adenoids a few weeks ago and would've noticed a mass sitting on them. I have since read some articles explaining that masses in the nasopharynx can sometimes be misconstrued as adenoids. He did tell me that he doesn't do that many adenoidectomies because they're generally done in adults where he wants a biopsy of the tissue, and that was his plan all along. He had told me a few weeks ago that the tissue needed to be biopsied to rule out tumors.

So my excised adenoids were sent to pathology for analysis and my ENT said the results should be back in a week. Normally, after an out-patient surgical procedure you follow-up with your doctor at an appointment 3 - 4 weeks later...well, my ENT said in a rather commanding tone, "I want to see you in my office in a week." I asked him if it would be possible to get an appointment that soon and he said, "Tell them I want to see you in a week and they will fit you in." Seems a little odd to me that he was so urgent about seeing me...maybe he just wants to be able to convey the biopsy results to me himself? Or maybe he is worried the results are not likely to come back good...so he's pre-empting what he thinks is going to happen? I mean he's the one who has seen the "mass"; maybe he can tell it looks malignant or at the very least, worrisome. I got the feeling there was something he wasn't telling me, but that might've been because my boyfriend was there with me. Usually, my ENT is very blunt and straight-forward.

Anyway, I'm not sure what to think, but I hope this biopsy helps determine why I've been feeling so horrible these past few years. I'll be sure to post the results once I hear them.

I have a small amount of bleeding from the surgical site and a low-grade fever (99.5 for the past two or three days), but I wasn't given any antibiotics, so hopefully I can fight any infections off on my own. It just s.u.c.k.s that I have final exams and three major papers due this week...all in the time-span of about four days. =(

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by sallyann27, Dec 11, 2010
wow, lot going on, any update?  you meeting with doctor early next week?

SA

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by Jules77733, Dec 11, 2010
Hey, good to see you're still around! I met with my doctor a few days ago and he told me it wasn't cancer, thank goodness, but that it looked very suspicious of cancer when he was removing the tissue during surgery. That's why he wanted to see me within a week. He also made sure to look at my tissue under a microscope and was "very glad" that it was removed because it "needed to come out". I asked him what he meant by that, and he said it just "didn't look good" so he was happy it was removed.

He did take another look at my tonsils and told me that they're asymmetrically enlarged, which is worrisome to see in adults. That coupled with the lymph node swelling I have in my neck has made him concerned, still, and he wants to observe my lymph node swelling in 2 - 3 months to see if anything has changed. He doesn't suspect anything will, so he wants me to have an FNA done on the submandibular lymph node, which just so happens to be on the same side as my larger tonsil. He also wants me to consider a tonsillectomy. I definitely want to avoid that if I can, but my tonsils have been enlarged for quite awhile...so it might be time to take them out (April or May, perhaps). My guess is that he's still concerned it could be cancer. Asymmetrically enlarged tonsils don't automatically mean cancer in an adult, but the cervical lymphadenopathy makes it appear suspicious. FNA isn't the best way to look for malignancy in a lymph node; biopsying the actual lymph node is...I'd just rather not resort to having a lymph node cut out and leaving a scar on my neck if I can help it!

Enough about me, though! How're you doing these days? Feeling any better?

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by sallyann27, Dec 12, 2010
wow mrs, a lot happening with you. I am pleased to hear that a doctor is taking your symptoms seriously after all the ones before. And sometimes better out than in, although I can't say he sounds like the most reassuring doctor in the world!

I'm ok, have my ups and downs and definitely in one of the downs.  trying to stay upbeat but overthink things.  Can't get rid of an ear infection and can't take medicine either so in a vicious circle.  Wish I wasn't like this, hae definitely considered being hypnotised but panic about that! ha :)

what are you doing with yourself these days?

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by Jules77733, Dec 12, 2010
I'll say! I'm just hoping to figure things out soon...I'm really impatient and I've been feeling like this for 2.5yrs! My ENT is one of my better doctors, though, even if he is exploring some rather frightening outcomes.

I think way too much, myself, so I know what you mean. It's a shame you can't take medicine, because that'd really easily clear up your ear infection. Have you talked to anyone (i.e. medical professional) about it? They might be able to offer some solutions, or at least assuage some of your fears associated with taking medication. Regardless, I hope you can shake the ear infection soon and get back to being in an "up".

I'm finishing a Masters degree at the moment (but I'm on winter break for a few weeks) and then I'll probably apply for jobs, even though I feel tired all the time and would love to just stay home and watch movies and sleep all day. I'm planning a trip to NYC for New Year's and I'm really excited to see a lot of college friends I miss, so that should be fun! How about you? Are you working?

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