Tonsillectomy and biopsy for asymptomatic asymmetric tonsillar enlargement: are we right?

The Journal of otolaryngology Pub Date : 2007-06-01
Paramesh Puttasiddaiah, Manoj Kumar, Pushkas Gopalan, Simon T Browning
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Abstract

Objective: The aim of this study was to evaluate the incidence of malignancy in patients with clinically asymmetrical tonsils and who are otherwise asymptomatic.

Design: Retrospective review of our experience based on case note review, carried out in a district general hospital setting during a period of two years.

Material and methods: 142 patients who had undergone tonsillectomy and biosy were included in the study. Histological studies of all these patients obtained and correlated with the clinical findings.

Results: None of the patients with asymmetric enlargement of tonsils but are otherwise asymptomatic had shown histological evidence of malignancy. However all the 3 patients with associated suspicious symptoms in the presence of asymmetric tonsils were diagnosed as having tonsillar malignancy.

Conclusion: Tonsillar asymmetry in the absence of other associated risk factors may not indicate malignancy and a period of watchful waiting is considered appropriate prior to any surgical intervention.

扁桃体切除术和活检治疗无症状不对称扁桃体肿大:我们对吗?
目的:本研究的目的是评估临床扁桃体不对称和其他无症状患者的恶性肿瘤发生率。设计:基于病例记录回顾对我们的经验进行回顾性回顾,在一家地区综合医院进行为期两年的研究。材料与方法:142例行扁桃体切除术和活检的患者纳入研究。所有患者的组织学研究均与临床表现相关。结果:非对称扁桃体肿大患者均无其他症状,组织学上均无恶性肿瘤表现。然而,3例扁桃体不对称出现可疑症状的患者均被诊断为扁桃体恶性肿瘤。结论:扁桃体不对称在没有其他相关危险因素的情况下可能不表明恶性肿瘤,在任何手术干预之前观察等待一段时间被认为是合适的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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