| Malignancy in asymmetrical but otherwise normal palatine tonsils. | |
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MedLine Citation:
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PMID: 17124938 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An abnormally large tonsil may be a sign of malignancy. We retrospectively analyzed the case files of 87 patients who had asymmetrically sized but otherwise normal tonsils and no risk factors for cancer to determine if asymmetry is associated with a higher incidence of malignancy. We found 2 cases (2.3%) of malignancy among these patients. One patient had high-grade non-Hodgkin's lymphoma in the larger tonsil, and the other had lymphocyte-rich Hodgkin's lymphoma. Both patients were older than 50 years, and neither had a history of recurrent tonsillitis. We believe that although the incidence of cancer in our series was small, it is significant. Therefore, we recommend routine excision of abnormally large tonsils. Moreover when making such a recommendation to a patient, it is essential that the patient have a clear understanding of the risk and benefit of having a tonsil removed solely because of asymmetry. |
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Authors:
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Adenike F Oluwasanmi; Stephen J Wood; David L Baldwin; Fabian Sipaul |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ear, nose, & throat journal Volume: 85 ISSN: 0145-5613 ISO Abbreviation: Ear Nose Throat J Publication Date: 2006 Oct |
Date Detail:
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Created Date: 2006-11-27 Completed Date: 2008-03-31 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7701817 Medline TA: Ear Nose Throat J Country: United States |
Other Details:
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Languages: eng Pagination: 661-3 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, Southmead Hospital, Bristol, UK. oluwasanmiadenike@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Fatal Outcome Female Hodgkin Disease / diagnosis*, epidemiology, pathology Humans Incidence Lymphoma, Non-Hodgkin / diagnosis*, epidemiology, pathology Male Middle Aged Palatine Tonsil / pathology* Retrospective Studies Risk Factors Tonsillar Neoplasms / diagnosis*, epidemiology, pathology Tonsillectomy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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