As mentined, go see an ENT! Certain primary cancers have a predictable drainage pathway to the lymphs, some one side only, but certain primaries, like the BOT can go to both, and that may even change based on the tumor size Andover invasion.
The white spots can be thrush, candida, smokng, other infection and is called leukoplakia, common disorder, and can progress to cancer. The red type, eryhoplakia lesion, is less common, an more indicative of cancet, which has to be ruled out as cancer.
6 months before being diagnosed, I had a red spot on my tongue, white patches I I thought was just an infection,, and went away. After a Lymph node was enlarged, I decided to go go the doctor, and diagnose with tonsil Cancer, BOT.