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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Cystic Structure At Base Of Tongue Mean?

Hi, i went to the hospital about 1 month ago because i almost choke, my throat was very tense and coundt swallow nothing the hospital did some erays on my throat and there report was (18mm cystic structure noted anterior/superior to the epiglottis at the base of the tongue, and some prominent upper cervical lymph nodes) they said ill be ok just check up with a doctor,it still feels tense sometimes and been having trouble swallowing.

the doctor didnt explain much at the hospital so what does a 18mm cystic structure on my throat means?
Mon, 27 Oct 2014
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Pathologist and Microbiologist,  's  Response
Hi, I M Dr.Kumarbhargav
Consultant Pathologist
I understood your problem,
Looking to your profile,
you have cystic lesion of 18 mm in epiglottis at the base of tongue with prominent upper cervical lymph nodes.
If you have frequent difficulty in swallowing and even chocking episodes, i think this should be evaluated and treated thoroughly.
Differential diagnosis may be vallecular cyst, laryngocele, or any other cystic lesion, I would go for proper endoscopic evaluation and if favoring this cyst should be excised specially if causing symptoms.
Excised cyst must be evaluated histopathologically to exclude any other findings of neoplastic process especially with enlarged lymph nodes.
So i would suggest talk to your doctor and convey that you are having swallowing difficulties with occasional chocking.
Thanks for contacting health care magic, Ask if you want more details.
Take care.
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What Does Cystic Structure At Base Of Tongue Mean?

Hi, I M Dr.Kumarbhargav Consultant Pathologist I understood your problem, Looking to your profile, you have cystic lesion of 18 mm in epiglottis at the base of tongue with prominent upper cervical lymph nodes. If you have frequent difficulty in swallowing and even chocking episodes, i think this should be evaluated and treated thoroughly. Differential diagnosis may be vallecular cyst, laryngocele, or any other cystic lesion, I would go for proper endoscopic evaluation and if favoring this cyst should be excised specially if causing symptoms. Excised cyst must be evaluated histopathologically to exclude any other findings of neoplastic process especially with enlarged lymph nodes. So i would suggest talk to your doctor and convey that you are having swallowing difficulties with occasional chocking. Thanks for contacting health care magic, Ask if you want more details. Take care.