An International Journal of Otorhinolaryngology Clinics

Register      Login

VOLUME 8 , ISSUE 1 ( January-April, 2016 ) > List of Articles

RESEARCH ARTICLE

Routine Histopathological Analysis of Pediatric and Adult Tonsils

K Shoba, B Harikumar, P Jayaganesh, K Srinivasan

Keywords : Adult,Histopathology,Pediatric,Tonsil

Citation Information : Shoba K, Harikumar B, Jayaganesh P, Srinivasan K. Routine Histopathological Analysis of Pediatric and Adult Tonsils. Int J Otorhinolaryngol Clin 2016; 8 (1):11-12.

DOI: 10.5005/jp-journals-10003-1216

Published Online: 01-08-2016

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Introduction

Making a protocol is a must to overcome the controversy of doing routine histopathological examination of tonsillectomy specimen.

Materials and methods

Histopathological report of 100 consecutive tonsillectomy specimens that reached the pathology department of Saveetha Medical College was analyzed.

Results

Histological examination of the 154 pediatric tonsils showed reactive lymphoid hyperplasia in all the patients. One specimen had a small cartilaginous choristoma. In the 46 adult tonsils, there were two lymphoma, one extensive osteocartilaginous choristoma, and one epidermoid cyst of tonsil.

Discussion

As the histopathological examination in the pediatric group did not reveal any finding, it can be done only in patients with risk factors. The adult group showed two cases of Hodgkins lymphoma, one epidermoid cyst of tonsil and one osteocartilaginous choristoma tonsil. Hence, we suggest to continue the practice of routine histopathological analysis in adults.

Conclusion

We suggest continuing the practice of routine histopathological examination of all adult tonsillectomy specimens.

How to cite this article

Shoba K, Harikumar B, Jayaganesh P, Srinivasan K. Routine Histopathological Analysis of Pediatric and Adult Tonsils. Int J Otorhinolaryngol Clin 2016;8(1):11-12.


PDF Share
  1. Histological study of routine tonsillectomy specimen. Ind J Otorhinolaryngol Head Neck Surg 2008 Dec;60(4):309–313.
  2. Optimal utilisation of histopathologic analysis of tonsil and adenoid specimen in the pediatric population. Int J Paediatr Otorhinolaryngol 2010 Feb;74(2):161–163.
  3. Routine histologic examination is unnecessary for tonsillectomy or adenoidectomy. Laryngoscope 2007 Sep;117(9):1600–1604.
  4. Is routine histopathology of tonsil specimen necessary? Afr J Paediatr Surg 2011 Sep-Dec;8(3):283–285.
  5. Risk factors for malignancy in adult tonsils. Head Neck 1998 Aug;20(5):399–403.
  6. Comparison of clinical and histopathological evaluation of tonsil in pediatric and adult patients. Eur Arch Otorhinolaryngol 2009 Aug;266(8):1309–1313.
  7. Occult hematological malignancy in routine tonsillectomy specimens. Am J Clin Pathol 2013 Dec;140(6):807–812.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.