<s>[INST] I am a 56 year old educated female RN. For 6 months I have noticed some non painful preasure pushing on my orophangeal area. Also a pushing up of some kind around my submandebular lymph area. (no tumors felt on palpation) One other slight change, I have noticed is when I swallow the place of skin to skin connection during the swallow has moved up to the front more, more towards the mid area of my tongue and not the very back of my tongue...does that make since? All of the above feels like I am being slightly strangled. My thyroid has been checked and this is not it. I am suspicious (sp) of some type of neck lymphoma. What other things could this be to start ruling out. I have already been to my regular Dr. What specialist would YOU refer me to under these conditions? Just reading what I have discribed to you what would be your next move? Thank you for a reply [/INST] Dear Madam RN,I understood your queries. Lymphoma arises in neck glands and also in minute glands in oropharyngeal area which begins with painless slowly enlarging masses. But not all painless swelling in these areas are lymphoma. It needs through clinical examination by an ENT specialist .If needed he/she may suggest you imaging (USG/CT Scan) of the neck and/or endoscopic evaluation of oropharyngeal and laryngeal areas. </s>