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don't worry if you have a long time size difference between your tonsils and your tonsil size doesn't change except for infections Other than that, I would like to summarize the following situations: - if the size difference between the tonsils becomes more pronounced, if a tonsil grows without signs of infection you are in the above risk group (alcohol and smoking, HPV positivity, genetic predisposition ...) - if there is painless lymph node enlargement in the neck and the lymph nodes are also growing gradually - It is appropriate to consult an ENT specialist even if there are no signs of additional ulceration bleeding, necrosis on the tonsil surface