European Archives of Oto-Rhino-Laryngology

, Volume 269, Issue 1, pp 255–259

Bilateral synchronous tonsillar carcinoma: a case series and review of the literature

  • Daniel Moualed
  • A. Qayyum
  • T. Price
  • A. Sharma
  • S. Mahendran
Head and Neck

Abstract

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.

Keywords

Synchronous Tonsillar carcinoma Bilateral Tonsillectomy 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Daniel Moualed
    • 1
  • A. Qayyum
    • 2
  • T. Price
    • 3
  • A. Sharma
    • 4
  • S. Mahendran
    • 5
  1. 1.Colchester General HospitalColchesterUK
  2. 2.Royal Darwin HospitalDarwinAustralia
  3. 3.Yeovil District HospitalYeovilUK
  4. 4.Edinburgh Royal InfirmaryEdinburghUK
  5. 5.Ninewells HospitalDundeeUK

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