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. 2018 Jul-Sep;30(3):181-184.
doi: 10.4103/tcmj.tcmj_133_17.

Study of adenotonsillectomy specimens: An institutional experience

Jyotsna Naresh Bharti  1 , Jitendra Singh Nigam  1 , Vivek Nair  1 , Archana Hemant Deshpande  1 , Amrit Debbarma  2
Affiliations

Study of adenotonsillectomy specimens: An institutional experience

Jyotsna Naresh Bharti et al. Tzu Chi Med J. 2018 Jul-Sep.

Abstract

Objective: Waldeyer's lymphatic ring consists of group of tonsils located over the posterior oropharyngeal wall. The palatine tonsils are largest tonsil. The present study was aimed to evaluate the significance of lymphoid hyperplasia, lymphocyte infiltration with and without defect in the surface epithelium in chronic tonsillitis (CT) and chronic adenotonsillar hypertrophy (CAH) in resected tonsillectomy and adenotonsillectomy specimens.

Materials and methods: A total of 85 patients were included in the study. Fifty-one cases underwent bilateral tonsillectomy and 34 cases underwent adenotonsillectomy.

Results: The lymphoid hyperplasia was higher in CAH (30/34; 88.24%) as compared to CT (26/50; 52%). Lymphocyte infiltration with or without defect in the surface epithelium was common in CT. The histopathologic criteria of lymphoid hyperplasia and lymphocyte infiltration with or without defect in the surface epithelium showed a statistically significant difference between CT and CAH.

Conclusion: CT and CAH may be differentiated on the basis of reliable histopathological criteria. Punch biopsy can be performed to avoid CT complication if the clinical diagnosis is true. Choristomas can be clinically confused with true neoplasms, if large in size.

Keywords: Actinomyces; Choristoma; Nasopharynx; Tonsil; Waldeyer's ring.

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Conflict of interest statement

There is no conflicts of interest..

Figures

Figure 1
Figure 1
(a) Mild inflammation in the surface epithelium (H and E, ×40). (b) Moderate inflammation and defect in the surface epithelium (H and E, ×40). (c) Lymphoid hyperplasia (H and E, ×10). (d) Chondroid choristoma seen within lymphoid follicles (H and E, ×10). Chondroid choristoma along with lobules of seromucinous acini and lymphoid follicles (H and E, ×10). (e) Fat choristoma seen within lymphoid follicles (H and E, ×10). (h) Osseous choristoma seen within lymphoid follicles (H and E, ×10). (i) Actinomyces colonies present over the surface epithelium (H and E, ×10). (i) Tonsillar cyst (H and E, ×10)
See this image and copyright information in PMC

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