The Abscess That Wasn't: A Cancer Diagnosis Story
A patient's journey from a suspected peritonsillar abscess to a cancer diagnosis, highlighting the importance of thorough ENT examination.
It was blistery cold outside, and the strong winds shattered against our windows. Yes it was winter, and fairly close to Christmas.
Things were moving along smoothly in the office when my staff informed me of a call asking if I would see a patient with a peritonsillar (throat) abscess.
"Cecilia" arrived about half an hour later. Something struck me as odd because she did not have any of the symptoms characteristic of a peritonsillar abscess — fever, thick voice, drooling, or severe throat pain. She complained more of right ear pain.
I checked her throat. Yes, the right tonsil was indeed enlarged, but this was no abscess — rather it looked like cancer.
It has now been more than two years since that dreadful diagnosis. Cecilia has undergone successful treatment and is doing very well with no evidence of recurrent tumor noted on her recent follow up.
More About Ear Pain
Ear pain is very common but does not always arise from the ear itself. It can be referred from various structures within the head and neck. A thorough exam is therefore crucial to determine the source of pain.