ENT question: Nasopharyngeal Lymphoid Tissue?

Question

This is a very challenging question but probably I will receive a simple and understandable answer . the story:
.I undergo a biobsy (my nose) and this was the diagnosis:

"Nasopharyngeal Lymphoid Tissue: Benign nasopharyngeal mucosa with underlying reactive lymphoid tissue"

This is the description:
"Right Nasopharyngeal: One Friable Tan Portion Of Soft tissue which is 0.5cm. TS"

I know that Benign is Good so Im not worried about that so far..Now my question:
In plain english what does this reactive lymphoid tissue is?...

I need some advice I tried google it and research but I have found myself more confused. Yes I am going to the doctor again but since I have been having additional symptoms I want to go with the right tools and be proactive about my health..

If there is someone out there who could give me more input that would be truly awsome.
Thanks!

Answer 1

Essentially, all the upper aero-digestive tract and specifically the pharynx (which is devided in naso or rhinopharynx, oropharynx, and hypopharynx) is reach in lymphatic tissue. This is because the pharynx is the first point of contact between infective agents and immune system. Everybody has lymphoid tissue in rhinopharynx and the term "reactive" is suggestive of a state of "activation" against a not better specified inflammatory agent. The absence of other specific features in your case is very reassuring.

Answer 2

This is the description:
"Right Nasopharyngeal: One Friable Tan Portion Of Soft tissue which is 0.5cm. TS"

Friable tissue is tissue that breaks apart easially. Skin & mucosa are supposed to be solid tough and resistant to friction. Friable is where it falls apart under very light pressure or it doesn't form in solid connected chains and looks like cauliflower. It could be symptomatic of an underlying cell bonding or creation issue or a disease thats eating ruts into your flesh. Friable tissues are most commonly observed around the edges of big wounds where the skin gets all sticky & comes off easy. Friable mucos membranes can bleed easially, especially after a biopsy.

Its just a description of the physical characteristics of the matter they did the biopsy on. Its just a way of describing the flesh... kinda like saying hard / soft - black - white. Friable material is not normal and can be a sign of bad things, but its not a guarantee that something serious bad is going on. Sometimes cells just don't assemble correctly. If a medical professional sees anything thats not 100% normal, its should be observed for growth patterns and evaluated for cancer or disease.

If i remember correctly for peripheral skin assessments it goes erythmatus (bloody goo) - friable (falling apart) - normal - obstructing (excessive growth & thick) - necrotic (collected dead stuff).

The underlying reactive lymphod tissue part i believe is just a description of what they took out to examine.
So, its a chunk of mucous membrane with a little bit of lymph follicies underneath of it. Your lymphatic circulatory system has tendrils integrated underneath most of your mucous membranes.

So like how your arm would go hair - skin - muscle - bone...
your sinues go cillia - skin - mucosa - lymphoids - bone.

That's my educated guess.