鄭醫師你好 之前在 及 得到過你的意見 最近 我的扁桃體喉嚨有發炎 之後發現左頸位置出現了淋巴結腫大 因為之前在左枕有腫大 所以這一次都回到了耳鼻喉科看 照了超音波得到了下面的報告 Bilateral Neck U.S. Scan A well circumscribed smoothly marginated flat 3x9x14 mm AP.W.L. node with uniform hypoechoic cortex  thin echogenic hilum is present subcutaneously over the left posterior neck level Vab corresponding to the clinically concerned lump. No intranodal calcifications or cystic components are noted. No surrounding perinodal reactions or overlying dermal thickenings are noted. A well circumscribed smoothly marginated flat 3x8x10 mm AP.W.L node with uniform hypoechoic cortex  thin echogenic hilum is present over the left suboccipital region. No significantly enlarged nodes are demonstrated along the jugular chains the spinal accessory chains  over supraclavicular fossa on both sides. No intranodal calcifications or cystic components are noted. No enlarged nodes are seen over submental and submandibular regions. No focal circumscribed masses are noted in the thyroid Comments No significant cervical lymphadenopathies are demonstrated Small left level Vab reactive node corresponding to the clinically concerned lump is present Small left suboccipital reactive node shows no significant interval changes as compared with the previous scan in 2020. 我的問題是. 1. 放射醫師及耳鼻喉醫師都說不用擔心 這個不是癌症 請問一下他們的意見是正確嗎 2. 他們都說不用理會那2個淋巴結 請問一下我需要再跟進嗎 3. 我本來從小就扁桃體很大 如果割除了 會比較好嗎 謝謝你
Hi： 您好， 1. 正確。 2. 若無明顯變大或疼痛可自我觀察，或3-6月再回診追蹤檢查。 3. 若無反覆扁桃腺炎或打呼等症狀，不一定需要手術切除。 祝平安健康 衛生福利部桃園醫院 耳鼻喉科主任　鄭爵儀敬復