Incidental p16-positive oropharyngeal carcinoma found during tonsillectomy for palmoplantar pustulosis
| Autor: | Katsumi Doi, Mitsuo P. Sato, Mutsukazu Kitano, Naoki Otsuki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
palmoplantar pustulosis
medicine.medical_specialty Palmoplantar pustulosis incidental cancer RD1-811 medicine.medical_treatment Tonsillar crypts stomatognathic system Small Lesion medicine tonsillectomy business.industry food and beverages Primary lesion Dermatology p16-positive oropharyngeal cancer Tonsillectomy stomatognathic diseases medicine.anatomical_structure Oropharyngeal Carcinoma Cancer of unknown primary Otorhinolaryngology RF1-547 Surgery business General Economics Econometrics and Finance P16 Positive |
| Zdroj: | Acta Oto-Laryngologica Case Reports, Vol 6, Iss 1, Pp 56-59 (2021) |
| ISSN: | 2377-2484 |
| Popis: | The tonsillar crypt is thought to be a hiding site for early cancer detected after tonsillectomy for primary lesion search in cancer of unknown primary site. In rare cases, a small lesion can be detected unexpectedly during surgical treatment for chronic tonsillitis and tonsillar focal diseases. We report the case of a 47-year-old woman undergoing tonsillectomy for palmoplantar pustulosis (PPP), resulting in the diagnosis of p16-positive oropharyngeal cancer (OPC) in the left tonsil. Postoperative radiation therapy was performed due to the presence of an adhesive lesion during surgery. Radiotherapeutic adverse effects were mild and improved 3 months after the radiotherapy. The symptoms of PPP completely resolved 3 months after the tonsillectomy and no recurrence has been observed so far. With an increase in the cases of HPV-related OPCs, routine pathological examination after tonsillectomy for benign-appearing tonsils in adults is necessary to detect incidental OPC regardless of its low cost-effectiveness. |
| Databáze: | OpenAIRE |
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