Bilateral synchronous tonsillar carcinoma: a case series and review of the literature
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We present the first dedicated case series of bilateral synchronous tonsillar carcinoma and discuss the role of bilateral tonsillectomy as a diagnostic tool. The occurrence of multiple head and neck tumours is well recognised; however, reports of bilateral synchronous tonsillar carcinoma are rare. A literature review reveals only 12 cases of bilateral synchronous tonsillar carcinoma described in the international literature in the past 15 years. We present a further three cases confirmed following bilateral tonsillectomy. In conclusion, bilateral tonsillectomy has in many centres been established as a standard diagnostic and therapeutic procedure for patients who have cervical metastases from a head and neck cancer of unknown primary site. It is likely the true incidence of bilateral synchronous tonsillar carcinoma is underestimated and under-reported. We recommend bilateral tonsillectomy for patients with suspected or proven unilateral tonsillar carcinoma as well as those with cervical metastases from unknown primary site.
KeywordsSynchronous Tonsillar carcinoma Bilateral Tonsillectomy
- 1.Golas S (2007) Trends in palatine tonsil cancer incidence and mortality rates in the United States. Community Dentist Oral Epidemiol 35:98–108Google Scholar
- 7.Ringström E, Peters E, Hasegawa M, Posner M, Liu M, Kelsey KT (2002) Human papillomavirus type 16 and squamous cell carcinoma of the head and neck. Clin Cancer Res 10:3187–3192Google Scholar
- 8.Regelink G, Brouwer J, de Bree R, Pruim J, van der Laan BF, Vaalburg W et al. (2002) Detection of unknown primary tumours and distant metastases in patients with cervical metastases: value of FDG-PET versus conventional modalities. Eur J Nucl Med Mol Imaging 8:1024–1030Google Scholar