Squamous cell carcinoma of the tonsillar remnant--clinical presentation and oncological outcome.

Christopher J Skilbeck, Jean-Pierre Jeannon, Mary O'Connell, Peter R Morgan, Ricard Simo
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引用次数: 6

Abstract

Background: Squamous cell carcinoma (SCC) of the tonsil is the most common malignant tumour of the oropharynx. Paediatric tonsillectomy is one of the most commonly performed procedures in Otorhinolaryngology. SCC of the tonsil remnant (SCCTR) in a previously tonsillectomised patient is rare.

Methods: Retrospective review of patients with SCCTR presenting to the Otorhinolaryngology, Head and Neck Unit January 2000 to December 2007.

Results: Two hundred and fifty patients with tonsil SCC were identified. Ten (4%) of these had previously undergone tonsillectomy in childhood. Nine patients underwent radical treatment including surgery, radiotherapy and in four cases concomitant chemotherapy. Eight patients are alive with no signs of recurrence with follow-up of a minimum of 24 months. One has been lost from follow-up.

Conclusions: Clinicians should be aware that SCC can arise from a tonsillar remnant. SCCTR has similar oncological outcomes as tonsillar tumours.

Abstract Image

Abstract Image

Abstract Image

扁桃体残体鳞状细胞癌的临床表现和肿瘤预后。
背景:扁桃体鳞状细胞癌(SCC)是最常见的口咽恶性肿瘤。小儿扁桃体切除术是耳鼻喉科最常见的手术之一。扁桃体残体的鳞状细胞癌(SCCTR)在以前扁桃体切除的病人是罕见的。方法:回顾性分析2000年1月至2007年12月在耳鼻咽喉头颈科就诊的SCCTR患者。结果:共发现250例扁桃体鳞状细胞癌患者。其中10人(4%)曾在儿童时期接受过扁桃体切除术。9例患者接受了根治性治疗,包括手术、放疗和4例合并化疗。8例患者存活,随访至少24个月,无复发迹象。其中一人在随访中丢失。结论:临床医生应该意识到SCC可能起源于扁桃体残体。SCCTR与扁桃体肿瘤具有相似的肿瘤预后。
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