左頸淋巴結腫大：是否需進一步檢查？-耳鼻喉科

淋巴結腫大問題及跟進？

鄭醫師你好, 之前在#160539 及 #160706 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 Va/b), 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 thyroidComments:No significant cervical lymphadenopathies are demonstratedSmall left level Va/b reactive node corresponding to the clinically concerned lump is presentSmall 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