European Archives of Oto-Rhino-Laryngology

, Volume 260, Issue 9, pp 490–493 | Cite as

Bilateral synchronous tonsillar carcinoma in cervical cancer of unknown primary site (CUPS)

  • Ilkay Kazak
  • Andreas Haisch
  • Sergije Jovanovic


In addition to panendoscopy and imaging for staging, ipsilateral tonsillectomy is a standard procedure in the search for the primary tumor in cervical cancer of unknown primary site (CUPS). It is not clear from the literature, whether bilateral tonsillectomy has been established as the standard procedure in cancer of unknown primary origin. A bilateral synchronous tonsillar carcinoma has thus far only been described three times in the literature. We report on a case of CUPS in which a bilateral tonsillar carcinoma was detected after bilateral tonsillectomy. We also discuss the inclusion of bilateral tonsillectomy as a standard procedure in the search for primary malignancies. To diagnose and adequately treat a bilateral synchronous tonsillar carcinoma without losing time, we recommend bilateral tonsillectomy as a standard procedure in cervical CUPS.


Tonsillar neoplasm Head and neck neoplasm Cervical metastasis Cystic metastasis Unknown primary 


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Copyright information

© Springer-Verlag is a part of Springer Science+Business Media 2003

Authors and Affiliations

  • Ilkay Kazak
    • 1
  • Andreas Haisch
    • 1
  • Sergije Jovanovic
    • 1
  1. 1.Department of Otolaryngology and Head and Neck SurgeryUniversity Medical Center Benjamin Franklin, Free University of BerlinBerlinGermany

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