Clinical significance of unilateral tonsillar enlargement
| Autor: | Víctor Palomar Asenjo, Montserrat Borràs Perera, Susanna Tobias Gómez, Víctor Palomar García, Antonio Ruiz Giner, Isabel Pérez Hernández |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Palatine Tonsil Malignancy Asymptomatic Young Adult stomatognathic system medicine Humans Clinical significance Young adult Child Aged Retrospective Studies Tonsillectomy Aged 80 and over business.industry Retrospective cohort study Hypertrophy Pharyngeal Diseases General Medicine Middle Aged medicine.disease Lymphoma Surgery medicine.anatomical_structure Tonsil Female medicine.symptom business |
| Zdroj: | Acta Otorrinolaringologica (English Edition). 60:194-198 |
| ISSN: | 2173-5735 |
| Popis: | Introduction Asymptomatic unilateral tonsillar enlargement is usually treated with systematic tonsillectomy under suspicion of malignancy. Due to the fact that most of the cases are benign pathologies, we set out to study the clinical signs that would help us in the diagnosis in order to avoid unnecessary tonsillectomies. Material and methods We reviewed 267 tonsillectomies performed from 1996 to 2006 and 30 of these were indicated because of asymmetry. We evaluated risk factors for malignancy: cervical lymphatic node enlargement, sex, age, tonsillar enlargement noticed by the patient, suspicious appearance, systemic symptoms, history of malignancy, and immunocompromise. Results Histopathologic study revealed 80% to be benign and 20% malignant. The risk factors with the strongest association were enlargement of cervical lymphatic nodes and suspicious appearance of the tonsil. Conclusions Strict control of a unilateral tonsillar enlargement is possible, but it is mandatory to perform a tonsillectomy when the appearance of the tonsil raises suspicions or there are enlarged lymphatic nodes. |
| Databáze: | OpenAIRE |
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