Sep 5, 2007
HIV positive 15 years; 60 yr old; Atripla.
Diagnosed with chronic adenoid hypertrophy, which blocks auditory canal and sometimes otitis media. Occasional episodes resolve within a few weeks, sometimes with Cipro. Recent episode new ENT said, âthis is a late stage AIDS, requires surgery.â
Now have sore submaxillary lymph node soreness, soft, slightly tender.
Is this a sign of lymphoma, late stages of AIDS, or major concern? Is an adenoidectomy appropriate?
Response from Dr. Wohl
I do not consider this enlargement of your adenoids a sign of advanced HIV infection. Your CD4 cell count would be a better barometer of the status of the infection.
Chronic enlargement of these glands in the throat can occur even among those without HIV and when troublesome sometimes must be removed. Most ENT are reluctant to surgically remove these glands full of lymph tissue unless pressed. Certainly, the tissue can be sent for pathological evaluation to rule out cancer but if both sides are enlarged, cancer seems unlikely to me.
I would seek out a second opinion of an experienced ENT doc. Your HIV doc should be able to recommend someone.
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