Abstract
Chronic tonsillitis is a common inflammatory disease of childhood. Chronic recurrent tonsillitis is common indication of tonsillectomy. Tonsillectomy is one of the most common otolaryngologic surgical procedures. There is still an ongoing debate as to whether or not histopathological examination should be performed in chronic recurrent Tonsillitis after tonsillectomy.
Objective: The aim of the study is to evaluate the correlations between clinical findings and histopathological findings in patients with chronic recurrent tonsillitis.
Material and Methods: A retrospective study was carried out in 30 patients with chronic recurrent tonsillitis who had undergone tonsillectomy from November 2017 to June 2019 in MGM hospital. The results were assessed in terms of various histological changes in removed tonsils.
Results: The patient’s ages ranged between 4 years to 55 years. A total of 30 cases were included in the present study. Of all the patients who underwent tonsillectomy, two were detected with malignancy.
Conclusion: A routine histopathologic examination is necessary for every cases of tonsillectomy, especially in adult population.
Keywords: Tonsillectomy, Histopathology, Malignancy.
References
- Dias EP, Rocha ML, Carvalho MOO, Amorim LMF. Detection of Epstein-Barr virus in recurrent tonsillitis. Braz J Otorhinolaryngol.2009;75(1):30-4.
- Regauer S. Nasopharynx and Waldeyer’s rings. In: Cardesa A, Slootweg PJ, editor. Pathology of the head and neck. New york: Springer; 2006,p. 183.
- Scadding GK. Immunology of the tonsil: a review. J R Soc Med 1990;83:104–7.
- Ying MD. Immunological basis of indications for tonsillectomy and adenoidectomy. Acta Otolaryngol Suppl (Stockh) 1988;454:279–85
- Mattila PS, Tarkkanen J. Differentiation of T lymphocytes in the human adenoid as measured by the expression of CD45 isoforms. Scand J Immunol 1998;48:59–64
- Bergler W, Adam S, Gross HJ et al. Age-dependent altered proportions in subpopulations of tonsillar lymphocytes. Clin Exp Immunol 1999;116:9–18
- Karasalihoglu AR. Ear Nose Throat Diseases. Istanbul, Beta Press, 1988:125
- Bizzell JG, Richter GT, Bower CM, Woods GL, Nolder AR. Routine pathologic examination of tonsillectomy specimens: A 10-year experience at a tertiary care children’s hospital. Int J Pediatr Otorhinolaryngol 2017; 102: 86-9. [CrossRef]
- Younis RT, Hesse SV, Anand VK. Evaluation of the utility and cost-effectiveness of obtaining histopathologic diagnosis on all routine tonsillectomy specimens. Laryngoscope 2001; 111: 2166-9 [CrossRef]
- Papouliakos S, Karkos PD, Korres G, Karatzias G, Sastry A, Riga M. Comparison of clinical and histopathological evaluation of tonsils in pediatric and adult patients. Eur Arch Otorhinolaryngol 2009; 266: 1309-13. [CrossRef]
- Lopes O, Mimiça I, Godinho JC, Castro Jr NP, Bussoloti Filho I, Dolci JEL, et al. A lincomicina no tecido amigdaliano. Seus níveis séricos e tissulares. Correlações clínica, bacteriológica e histopatológica. Rev Bras Otorrinolaringol. 1982;48(2):33-9.
- Ripplinger T, Theuerkauf T, Schultz-Coulon HJ. Significance of the medical history in decisions on whether tonsillotomy is indicated. HNO 2007;55:945–9.
- Strong EB, Rubinstein B, Senders CW. Pathologic analysis ofroutine tonsille-ctomy and adenoidectomy specimens. Otolaryngol Head Neck Surg 2001; 125: 473-7. [CrossRef
- Kadin M, Donaldson S, Dorfman R. Isolated granulomas in Hodgkin’s disease. N Engl J Med 1970;283:859–861.
- O’Connell M, Schimpff S, Kirschner R, Abt A, Wiernik P. Epithelioid granulomas in Hodgkin disease. A favourable prognostic sign? JAMA 1975;233:886–889.
- Sacks E, Donaldson S, Gordon J, Dorfman R. Epithelioid granulomas associated with Hodgkin’s disease: clinical correlations in 55 previously untreated patients. Cancer 1978; 41:562–567.
- Anim J, Dawlatly E. Tuberculosis of the tonsil revisited. West Afr J Med 1991;10:194–197.
- Selimoglu MD, Sutbeyaz Y, Ciftcioglu MA, Parlak M, Esrefoglu M, Ozturk A. Primary tonsillar tuberculosis: a case report. J Laryngol Otol 1995;109:880–882.
Corresponding Author
Kalpana Rajiv Kumar
Department of Otorhinolaryngology, MGM Hospital Navi Mumbai
DOI: https://dx.doi.org/10.18535/jmscr/v7i12.34
