Evaluation of the Need for Histopathological Examination in Routine Tonsillectomies

Felix, Felippe; Gomes, Geraldo Augusto; Tomita, Shiro; Cardoso, Gustavo Azeredo; Souza, Bruno Peer de

doi:10.1016/j.otohns.2005.05.454

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, 30 of 71 (42%) of their “nonroutine” tonsillectomies (performed for suspicion of malignancy) demonstrated cancer on histology 12 . Again, as noted in Table II, 88% of patients with cancer had one or more of these suspicious clinical features 9,10,14–17,19,20,23–25 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Routine Histologic Examination is Unnecessary for Tonsillectomy or Adenoidectomy

Randall

Martin²,

Thompson

2007

The Laryngoscope

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

“…With this in mind, it has been suggested that all specimens be submitted for routine histology. Twenty studies review series of tonsillectomy, adenoidectomy, or both to include a total of 54,901 patients listed in Table I 8–27 . Several authors mention a subset of procedures done specifically for biopsy due to suspicion of malignancy.…”

Section: Resultsmentioning

confidence: 99%

Routine Histologic Examination is Unnecessary for Tonsillectomy or Adenoidectomy

Randall

Martin²,

Thompson

2007

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…The literature regarding tonsillectomy specimen pathological diagnoses is extensively reviewed in an article by Randall et al 17 The authors reviewed 20 articles, 2 published in the pathology literature 11,23 and the remaining 18 published in head and neck journals. 10,[14][15][16][24][25][26][27][28][29][30][31][32][33][34][35][36][37] In the 20 articles reviewed, there were a total of 54 901 patients who underwent tonsillectomy, adenoidectomy, or both. Among these cases, 54 malignancies were identified (0.087% prevalence).…”

Section: Discussionmentioning

confidence: 99%

Routine Evaluation of Adult Tonsillectomy Specimens

2011

View full text Add to dashboard Cite

Tonsil excision is a common surgery for both children and adults. Prior studies have consistently shown that the rate of malignancy in tonsil specimens is low and that the possibility of true, occult malignancy is remote. Practice trends accept triage of pediatric tonsillectomies for exemption or gross exam only. However, for adults, despite a low malignancy rate, routine histological evaluation of tonsillectomy specimens is standard of care at most health care facilities. The authors performed a retrospective review of all tonsil specimens received in their department over 45 months with categorization of pathological diagnosis and surgical indication. Of 1746 adult tonsillectomy specimens removed during this time, there were no incidental/occult malignancies. These data indicate that gross examination of adult tonsillectomy specimens excised for chronic tonsillitis or sleep apnea is sound practice, and this, taken together with other published data, provides a basis for consensus-derived practice guidelines.

show abstract

Evaluation of the Need for Histopathological Examination in Routine Tonsillectomies

Cited by 2 publications

References 0 publications

Routine Histologic Examination is Unnecessary for Tonsillectomy or Adenoidectomy

Routine Histologic Examination is Unnecessary for Tonsillectomy or Adenoidectomy

Routine Evaluation of Adult Tonsillectomy Specimens

Contact Info

Product

Resources

About