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

P. Puttasiddaiah, M. Kumar, P. Gopalan, S. Browning
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引用次数: 15

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,在一个地区综合医院环境中进行了为期两年的研究。材料与方法142例接受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中无其他症状者均表现出恶性肿瘤的组织学证据。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是恶性肿瘤,在任何手术干预之前观察等待一段时间是合适的。
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