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Hindi Case Report, J Otol Rhinol Vol: 2 Issue: 3
Bilateral Synchronous Tonsillar Carcinoma
| Fiona McClenaghan1*, Charles Giddings2, Melanie Powell3 and Michael Dilkes4 | |
| 1The Royal London Hospital, United Kingdom | |
| 2Charing Cross Hospital, United Kingdom | |
| 3Queen’s Hospital Romford, United Kingdom | |
| 4Barts Health NHS Trust, United Kingdom | |
| Corresponding author : Fiona McClenaghan The Royal London Hospital, Whitechapel Rd, London, Greater London E1 1BB, United Kingdom E-mail: fiona.mcclenaghan@gmail.com |
|
| Received: February 07, 2013 Accepted: June 01, 2013 Published: July 15, 2013 | |
| Citation: McClenaghan F, Giddings C, Powell M, Dilkes M (2013) Bilateral Synchronous Tonsillar Carcinoma. J Otol Rhinol 2:3. doi:10.4172/2324-8785.1000126 |
Abstract
Bilateral Synchronous Tonsillar Carcinoma
Introduction: The tonsils are the most common site of occult primaries in the oropharynx with a reported incidence of 18%-44%. Bilateral synchronous tonsillar carcinoma has been reported 15 times in the literature however the incidence is likely to be much higher as bilateral tonsillectomy in the work-up of a patient with cervical metastases of unknown primary origin is not routine practice in all centres.
Methods: A case series of four patients presenting with metastatic squamous cell carcinoma (SCC) in cervical lymph nodes with unknown primaries found on bilateral tonsillectomy to have bilateral synchronous tonsillar carcinoma.
Discussion: This cases series supports the case for bilateral tonsillectomy to become standard practice in the work-up of a patient with cervical metastases of unknown primary origin.
