Assuntos
Pressão Positiva Contínua nas Vias Aéreas/efeitos adversos , Doenças do Aparelho Lacrimal/etiologia , Doenças do Aparelho Lacrimal/cirurgia , Complicações Pós-Operatórias/etiologia , Apneia Obstrutiva do Sono/complicações , Apneia Obstrutiva do Sono/terapia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
INTRODUCTION: Asymptomatic unilateral tonsillar enlargement is usually treated with systematic tonsillectomy under suspicion of malignancy. Due to the fact that most of the cases are benign pathologies, we set out to study the clinical signs that would help us in the diagnosis in order to avoid unnecessary tonsillectomies. MATERIAL AND METHODS: We reviewed 267 tonsillectomies performed from 1996 to 2006 and 30 of these were indicated because of asymmetry. We evaluated risk factors for malignancy: cervical lymphatic node enlargement, sex, age, tonsillar enlargement noticed by the patient, suspicious appearance, systemic symptoms, history of malignancy and immunocompromise. RESULTS: Histopathologic study revealed 80 % to be benign and 20 % malignant. The risk factors with the strongest association were enlargement of cervical lymphatic nodes and suspicious appearance of the tonsil. CONCLUSIONS: Strict control of a unilateral tonsillar enlargement is possible, but it is mandatory to perform a tonsillectomy when the appearance of the tonsil raises suspicions or there are enlarged lymphatic nodes.
Assuntos
Tonsila Palatina/patologia , Doenças Faríngeas/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Humanos , Hipertrofia , Masculino , Pessoa de Meia-Idade , Doenças Faríngeas/cirurgia , Estudos Retrospectivos , Tonsilectomia , Adulto JovemRESUMO
Introducción: El aumento unilateral asintomático de una amígdala palatina suele tratarse con amigdalectomía sistemática por sospecha de malignidad. Ante la mayor frecuencia de procesos benignos, se estudian datos clínicos que puedan servir como factores de riesgo para evitar amigdalectomías innecesarias. Material y métodos: Se revisan 267 amigdalectomías realizadas entre 1996 y 2006, de las cuales 30 se indicaron por asimetría. Se valoran factores de riesgo, como adenopatías, ser varón, mayor de 45 años, detección por el mismo paciente, aspecto sospechoso, clínica sistémica, historia de malignidad e inmunodeficiencia. Resultados: El resultado anatomopatológico fue de proceso benigno en el 80 % de los casos y maligno, en el 20 %. Los factores de riesgo que muestran mayor relación con malignidad son las adenopatías y el aspecto sospechoso.C onclusiones: Se puede realizar control estricto ante una asimetría amigdalina, aunque cuando hay factores de riesgo debemos indicar amigdalectomía (AU)
Introduction: Asymptomatic unilateral tonsillar enlargement is usually treated with systematic tonsillectomy under suspicion of malignancy. Due to the fact that most of the cases are benign pathologies, we set out to study the clinical signs that would help us in the diagnosis in order to avoid unnecessary tonsillectomies. Material and methods: We reviewed 267 tonsillectomies performed from 1996 to 2006 and 30 of these were indicated because of asymmetry. We evaluated risk factors for malignancy: cervical lymphatic node enlargement, sex, age, tonsillar enlargement noticed by the patient, suspicious appearance, systemic symptoms, history of malignancy and immune compromise. Results: Histopathologic study revealed 80 % to be benign and 20 % malignant. The risk factors with the strongest association were enlargement of cervical lymphatic nodes and suspicious appearance of the tonsil. Conclusions: Strict control of a unilateral tonsillar enlargement is possible, but it is mandatory to perform a tonsillectomy when the appearance of the tonsil raises suspicions or there are enlarged lymphatic nodes (AU)
Assuntos
Humanos , Tonsila Palatina/anormalidades , Neoplasias Tonsilares/epidemiologia , Tonsilectomia , Fatores de Risco , Síndromes de Imunodeficiência/complicaçõesRESUMO
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