DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20202788

Various spectrum of lesion in palatine tonsil underwent for tonsillectomy in tertiary care center: a two years retrospective study

Gaurav Kumar, Ritu Sharma, Desh Pal, Geeta .

Abstract


Background: Palatine tonsils are paired masses of lymphoid tissue which act as immunologic barrier against the entry of pathogenic organism into the respiratory and digestive tracts. Despite their protective function, tonsils are prone to infection. Chronic tonsillitis is a disease with repeated attacks of acute tonsillitis or a sub-clinic form of a resistant or poorly treated infection. Objective of the study was to know the various clinico-pathological finding in palatine tonsil underwent for tonsillectomy.

Methods: This was a retrospective study where 105 cases (unilateral-15, bilateral-86 and tonsillar biopsy in 04) of histopathologically identified tonsillectomy specimens were included. The available data for all the patients as regards to age, sex and clinical symptoms was collected. Representative bits were taken from formalin fixed tonsillectomy specimens in which hematoxylin and eosin (H and E) staining was done.  

Results: Amongst the cases, 79 cases showed chronic tonsillitis. Other lesions were chronic tonsillitis with actinomycosis in 11 cases, acute on chronic tonsillitis in 07 cases, granulomatous tonsillitis in 03 cases, Acute ulcerative tonsillitis with micro abscesses in 01 case and Reactive lymphoid hyperplasia in 02 case. Two malignancies were observed - one case of poorly differentiated carcinoma and another case of lymphoma.

Conclusions: This study showed that chronic tonsillitis is a common problem facing in all age groups and histopathology play a key role in diagnosing both benign and malignant lesion of tonsil therefore deciding the proper management.


Keywords


Palatine tonsil, Tonsillectomy, Tonsillitis, Histopathology

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References


Guerra MM, Garcia E, Pilan RR, Rapoport PB, Campanholo CB. Antibiotic use in post-adenotonsillectomy morbidity a randomized prospective study. Braz J Otorhinolaryngol. 2008;74(3):337-41.

Sulhyan KR, Deshmukh BD, Wattamwar RP. Histopathological spectrum of lesions of tonsil: a 2 years’ experience from tertiary care hospital of Maharashtra, India. Int J Med Res Rev. 2016;4(12):2164-9.

Singh I. Lymphatics and Lymphatic Tissue Textbook of human histology. 4th ed. India: Jaypee Brothers medical publishers; 2002: 191.

Alnori HA, Mahmod KA, Mohammed AM. Bacteriological, Serological and Histopathological Study on Tonsillectomy Specimens. Iraqi Postgraduate Medical J. 2014;13:219-25.

Zhang PC, Pang YT, Loh KS, Wang DY. Comparison of histology between recurrent tonsillitis and tonsillar hypertrophy. Clin Otolaryngol Allied Sci. 2003;28(3):235-9.

Dolev Y, Daniel SJ. The presence of unilateral tonsillar enlargement in patients diagnosed with palatine tonsil lymphoma: experience at a tertiary care pediatric hospital. Int J Pediatr Otorhinolaryngol. 2008;72(1):9-12.

Oluwasanmi AF, Wood SJ, Baldwin DL, Sipaul F. Malignancy in asymmetrical but otherwise normal palatine tonsils. ENT J. 2006;85(10):661-4.

Shintani T, Asakura K, Kataura A. The effect of adenotonsillectomy in children with OSA. Int J Pediatric Otorhinolaryng. 1998;44(1):51-8.

Uppal K, Bais AS. Tonsillar microflora superficial surface versus deep. J Laryngol Otol. 1989;103:1757.

Discolo CM, Darrow DH, Koltai PJ. Infectious Indications for tonsillectomy. Pediatr Clin North Am. 2003;50:115-58.

Erwin S. Unsuspected sarcoidosis of the tonsil. Otolaryngol Head Neck Surg. 1989;100:245-7.

Manzoor I, Khandeparker S, Kulkarni M. Histopathological Spectrum of Lesions of Palatine Tonsil: a 3 years study. Int J Sci Res (IJSR). 2018;7(9):2319-7064.

Ugras S, Kutluhan A. Chronic tonsillitis can be diagnosed with histopathologic findings. European J General Med. 2008;5(2):95-103.

Sujatha N, Manimaran M, Rao RN. Histopathological Features of Tonsils and Significance of Actinomycosis in Chronic Tonsillitis. IOSR J Dent Med Sci (IOSR-JDMS). 2015;14(4):105-9.

Ozbay IM Gencoglu, Balıkci HH, Kucur C, Oghan F. Histopathological analysis of tonsillectomy specimens: a report from Southeastern Anatolia. Kulak Burun Bogaz Ihtis Derg. 2014;24(5):254-8.

Johansen LV, Overgaard J, Overgaard M, Birkler N, Fisker A. Squamous cell carcinoma of the oropharynx: an analysis of 213 consecutive patients scheduled for primary radiotherapy. Laryngoscope. 1990;100(9):985-90.

Nasman A, Attner P, Hammarstedt L, Du J, Eriksson M. Incidence of human papillomavirus (HPV) positive tonsillar carcinoma in Stockholm, Sweden: An epidemic of viral-induced carcinoma. Int J Cancer. 2009;125(2):362-6.

Mohamad I, Hassan S, Salim R. The routine histopathological examination of tonsillectomy specimens at hospital University Sains Malaysia: a retrospective study and its implication. Malays J Med Sci. 2007;14:53-5.

Adoga AS, Ma ADN, Nuhu SI. Is routine histopathology of tonsil specimen necessary. Afr J Paediatr Surg. 2011;8(3):283-5.

Maharjan S, Neopane P, Parajuli R. Histopathological Examination of Routine Tonsil or Adenoid Specimens in a Tertiary Care Centre of Nepal: Evaluation of Its Necessity and Cost-Benefit Rate Analysis. Glob J Otolaryngol. 2017;8(2):1-5.