Tonsillectomy for biopsy in children with unilateral tonsillar enlargement

The presence of unilateral tonsillar enlargement in patients diagnosed with palatine tonsil lymphoma: Experience at a tertiary care pediatric hospital

“…They did not find any case of lymphoma in that group and concluded that routine tonsillectomy in cases of asymmetry was not warranted in the absence of significant other risk factors. Spinou et al [6] retrospectively reviewed 47 tonsillectomies performed because of UTE. They found no cases of lymphoma.…”

“…Ridgway et al [5] suggested in 1987 that all children with progressive asymmetric enlargement of the tonsils be considered for the possibility of lymphoma given their series of patients who presented this way. However, the incidence of lymphoma of the tonsil in this age group is much smaller and therefore some have argued more recently that in the context of UTE, the routine removal and histological examination of tonsils is not warranted and unnecessarily generates tremendous costs [2,6,7].…”

A Comprehensive Analysis of Histopathologic Examination Results of Tonsillectomy Specimens

“…Berkowitz and Mahadevan found that only 52% of histopathologic examination results revealed a tonsillar size asymmetry in patients considered to have a preoperative large ATH [22]. According to Spinou et al, 17% of the patients with clinically asymmetric tonsils had a smaller tonsil size and that the sizes of the right and left tonsils were equal in 40% of the patients [23]. Cinar did not find a difference in the tonsil size of 39.62% of the asymmetric group and concluded that apparent asymmetry might be due to the difference in the tonsillar fossa depth [8].…”

Incidence of unexpected pathology in routine adenoidectomy specimens

“…This study also aims to clarify the necessity of histopathologic examination of routinely removed adenoid tissue. Most of the study focuses on the importance of tonsillar tissue investigation [8][9][10][11][12][13]. In the absence of clinical findings pertaining to tonsils the incidence of unexpected pathologies of adenoid tissue is paid insufficient attention.…”