Upon physical examination: tonsils disproportion without involvement of other organs or lymph nodes. Conclusion: Our study is according to the literature as regards the fact the lymphomas are more common in men, the patient is the first one to notice the increase in volume and the asymmetry is larger than 2 degrees between palatine tonsils in cases of lymphoma.
Although it is rare, even in the presence of differences, there are chances for the asymmetry to evolve to a malignant profile. The need for anatomopathological evaluation of a part must be considered along with other clinical data that suggests a malignant profile. All Issues. Year: Vol. Section: Original Article. English PDF. Text in Portuguese. How to cite this article. Author s :. Key words:. The main indications for this procedure are: recurrent tonsillitis, sleep obstructive apnea and palatine tonsils asymmetry with suspicion of malignancy.
The regular histopathological analytic of most tissues removed from the human body is a general consensus. As regards to the products of tonsillectomies, several studies, with expressive series, demonstrate the costs do not compensate the performance of the histopathological exam, once most cases are of lymphoid hyperplasia and in those cases confirmed of neoplasms there was a preoperative suspicion 1, 2, 3.
The patient many times gets to the otorhinolaryngology office concerned about a tonsillar asymmetry. The procedure of the otorhinolaryngologist should be that of promptly performing the diagnosis in a case of cancer. At the same time, no procedure should be indicated that requires general anesthesia and has proper risks without a plausible indication. Therefore, related studies help the otorhinolaryngologist to adopt a correct procedure.
Several studies assess the histopathological result of all cases submitted to tonsillectomy, and find a low incidence of lymphoma. DOLEV et al. As the tonsillar asymmetry is the main clinical finding of the palatine tonsils lymphoma 4 , the anatomopathological exam becomes critical in cases of unilateral increase of the tonsillar volume, especially when there is suspicion of the disease.
The objective of this work is to report the profile of patients with asymmetric palatine tonsils, in addition to the main histological alterations found in their surgical pieces of tonsillectomies. Cancer Moonshots. Jump To:. March 11, What are tonsils? What raises the risk of tonsil cancer? Can you have tonsil cancer and no tonsils? What are the symptoms of tonsil cancer? How is tonsil cancer diagnosed?
What is the standard treatment for tonsil cancer? Are there new treatments for tonsil cancer? MD Anderson has been using a combination of radiation and molecular targeting agents called EGFR epidermal growth factor receptor inhibitors, which I explain to my patients like this: The receptor is like a docking station for EGF, a type of growth hormone. How can patients prepare for treatment? Radiation can decrease the amount of saliva, which is important for fighting cavities.
What should patients know about the recovery? What is the recurrence rate for tonsil cancer survivors? Is there a screening for tonsil cancer? Objective: Asymmetry of tonsils that arouses suspicion for malignancy is one of the indications for tonsillectomy. The purpose of this study was to evaluate the incidence of occult malignancy in patients with asymptomatic unilateral tonsillar enlargement. Study design and setting A prospective controlled trial was carried out in two institutions, Beyoglu Research and Training Hospital and Karaelmas University Hospital, during a 6-year period.
Of patients selected for tonsillectomy, patients with unilateral tonsillar enlargement were identified and were included in this study. Conclusions Tonsillar asymmetry in children may often be an illusion secondary to a difference in the depth of the tonsillar fossa.
Tonsillar asymmetry in children in the absence of other findings such as ipsilateral cervical adenopathy or other constitutional symptoms may not indicate a malignancy. This is followed by a period of proliferation and eventual involution. Significant asymmetry of the tonsils, especially if there is rapid enlargement, may portend a serious underlying disorder such as lymphoma, lipid storage disease, or Langerhan cell histiocytosis.
This study seeks to elucidate and further the discussion by prospectively examining comparative tonsil size in a cohort of children who have indications for surgery other than a suspected tumor. Prospective data were recorded on children aged 2 to 18 years undergoing tonsillectomy with or without adenoidectomy during the study period.
Children with an asymmetric tonsillar presentation were eligible to be included in the study group. Children with a history of human immunodeficiency virus—acquired immunodeficiency syndrome, immunosuppression, transplantation, suspected current or previously treated malignancy, and Down syndrome or other craniofacial disorders were excluded.
A history and preoperative physical examination results were recorded on all children. Demographic information was collected, including age, sex, and race. The indication for surgery was recorded. After patients were under anesthesia, they were placed in suspension using Crowe-Davis or a McIvor mouth gag. Also, the degree of tonsillar fossa depth was assessed. All tonsils were removed by a cautery technique. The resected specimens were labeled as to the proper side and submitted in a fresh state for pathological examination.
All specimens were measured for length, width, and depth. Both gross and microscopic features were recorded. A control group of children with apparent symmetric tonsils who were undergoing tonsillectomy with or without adenoidectomy was matched by age, sex, race, indications for surgery, and surgical procedure performed. Similar measurements and pathologic assessments were made for the control group. Statistical analysis was performed with a commercially available software package Instat2, San Diego, Calif.
Two hundred fifty-eight children underwent tonsillectomy with or without adenoidectomy during the study period. Forty-seven children were determined to have some degree of tonsillar asymmetry The age range for the study group was 2 to 13 years.
There were 23 boys aged 2 to 10 years with a mean age of 5. There were 24 girls aged 2 to 13 years with a mean age of 5. The indications for surgery for the boys and girls in the asymmetric group were similar. There were 43 matched controls who had the same indications for surgery and underwent the same procedures during the study period.
Children in the control group were aged 2 to 11 years. There were 24 girls aged 2 to 11 years with a mean age of 5. There were 19 boys aged 2 to 11 years with a mean age of 5.
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