Abstract
Introduction
Palatine and nasopharyngeal tonsils are lymphatic flesh clusters of tissue of the respiratory and digestive tract’s epithelium. There is not much literature pertaining to the histological assessment of resected tonsils though anecdotal case reports of choristoma, squamous cell cysts of the tonsil have been reported which mimicked chronic tonsillitis. Tonsils also are an important site for head and neck cancer in adults.
Aim & objective
To study the histological features of routine tonsillectomy specimens and to study for the presence of choristomatic tissue or any other benign pathology as a cause of chronic tonsillitis.
Patients & methods
Fifty consecutive tonsillectomy specimens, which were received in the department of Pathology, Gandhi Medical College, were evaluated with regards to clinical information. Among 50 patients, a slight predominance of men (56 %) over women (44 %) was observed.
Conclusion
The mesenchymal tissue consisted mainly of epithelium and lymphoid tissue with cartilage in a single case and fat in three cases. The role of imaging techniques, in assessing the need for early surgical intervention in cases with chronic tonsillitis, can be determined by assessing the micropathology of tonsillectomy specimens and is an arena for further research. We discussed the role of FDG-PET scan in the assessment of the same.
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References
Junqueira LC, Carneiro J (1999) Histologia Básica 9a ed. Rio de Janeiro: Guanabara Koogan; p. 242–243
Dolci JEL et al (2002) Análise histológica de 24 tonsilas faríngeas de pacientes submetidos à adenoidectomia ou à adenoamigdalectomia. Rev Bras Otorrinolaringol 68(5):615–618
Younis RT, Hesse SV, Anand VK (2001) Evaluation of the utility and cost-effectiveness of obtaining histopathologic diagnosis on all routine tonsillectomy specimens. Laryngoscope 111(12):2166–2169
Ferreira JB et al (2003) Histopatologia de amídalas e adenóides de 154 pacientes operados. Rev Port Otorrinolaringol 41(1):35–39
Moore KL (1996) Embriologia Clínica. 4a ed. Rio de Janeiro: Guanabara Koogan; p. 259
Scott Brown, 6th Ed:Vol 5, Chap 4; 1996. p 2–5
NCRP, ICMR Bhopal Population Based Cancer Registry Report, 2005 p 47
Suna E, Abdullah A, Emrah K (2002) Journal of Laryngology & Otology 116:911–913
Huang H, Peng Y, Liu F, Lei H (2007) Med Hypotheses
Dell’Aringa, Alfredo R, Juares, Antônio JC, Melo, Cinthia de et al (2005) Histological analysis of tonsillectomy and adenoidectomy specimens — January 2001 to May 2003. Rev Bras Otorrinolaringol 71(1):18–22
Ikram M, Khan MA, Ahmed M, Siddiqui T, Mian MY (2000) The histopathology of routine tonsillectomy specimens: results of a study and review of literature. Ear Nose Throat J 79(11):880–882
Kapoor N, Bhalla J, Bharadwaj VK, Kotgirwar BK (2003) Cartilagenous choristoma of palatine tonsil — a case report, Indian J Pathol Microbiol. 46(4):654–655
William M (2003) The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. Human Pathology 34(10):1053–1057
Szeremeta W, Novelly NJ, Benninger M (1996) Postoperative bleeding in tonsillectomy patients. Ear Nose Throat J 75:373–376
Dohar JE, Bonilla JA (1996) Processing of adenoid and tonsil specimens in children: A national survey of standard practices and a five-year review of the experience at the Children’s Hospital of Pittsburgh. Otolaryngol Head Neck Surg 115:94–97
Alvi A, Vartanian AJ (1998) Microscopic examination of routine tonsillectomy specimens: Is it necessary? Otolaryngol Head Neck Surg 119:361–363
Beaty MM, Funk GF, Karnell LH, et al (1998) Risk factors for malignancy in adult tonsils. Head Neck 20:399–403
Kraus M, Fliss DM, Argov S, et al (1990) Burkitt’s lymphoma of the tonsil. J Laryngol Otol 104:991–994
Batsakis JG, el-Naggar AK, Luna MA (1995) Teratomas of the head and neck with emphasis on malignancy. Ann Otol Rhinol Laryngol 104:496–500
Joji K, Terue O, Miyuki S, Koichi K et al (1999) Two cases of chronic tonsillitis studied by FDG-PET. Annals of Nuclear Medicine 13(4):277–279
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Arora, S., Agrawal, M., Nazmi, M. et al. Histological study of routine tonsillectomy specimen. Indian J Otolaryngol Head Neck S 60, 309–313 (2008). https://doi.org/10.1007/s12070-008-0105-y
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DOI: https://doi.org/10.1007/s12070-008-0105-y