Histological study of routine tonsillectomy specimen

Abstract

Introduction Palatine and nasopharyngeal tonsils are lymphatic fl esh 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. ConclusionThe 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.

Routine Histopathological Analysis of Pediatric and Adult Tonsils

“…Tonsil develops from the second pharyngeal pouch, epithelium develops from the ectoderm, and lymphoid tissue from the mesoderm. 1 In our study, histological examination of 154 pediatric tonsils showed no evidence of malignancy or tuberculosis. In a study done by Brien 2 in 2010, malignancy was diagnosed in 0.026% of pediatric patients.…”

“…Cartilaginous choristoma in tonsil has been recorded. 1 Osteo-cartilaginous choristoma is very rare in tonsil.…”

“…Cost of medical treatment and medicolegal issues have created controversy as to whether routine histopathology is a must or not. original article [1][2][3] Associate Professor, 4…”

Comparative clinicopathological aspects of chronic tonsillitis and adenoiditis in children

“…Thus, the knowledge of the histological aspects of tonsils and adenoids and the distribution of immune elements involved in chronic inflammation may lead to the identification of pathogenic pathways of initiation, persistence or remission of lesions. Microscopic evaluation can also improve imaging techniques and treatment criteria, as well as the associated morbidity rate [ 20 ], especially in the conditions in which the impact of the deprivation of the child’s organism of numerous immunocompetent cells by radical surgical technique is not yet known [ 5 ].…”

To Evaluate the Role of H. pylori in Patients with Chronic Recurrent Tonsillitis

“…The usual indication for surgical resection of tonsils is chronic recurrent tonsillitis. Literature also does not indicate the reason behind the fact that only part of the population suffers from recurrent chronic tonsillitis in spite being exposed to similar conditions [1].…”