Artículos de revistas
Tonsillar Lymphoma In Children With Unilateral Tonsillar Enlargement [linfoma Tonsilar Em Crianças Com Assimetria Tonsilar]
Registro en:
Revista Paulista De Pediatria. , v. 30, n. 2, p. 288 - 291, 2012.
1030582
10.1590/S0103-05822012000200021
2-s2.0-84864258931
Autor
Guimaraes A.C.
de Carvalho G.M.
Gusmao R.J.
Institución
Resumen
Objective: To demonstrate the importance of a medical examination with emphasis on changes of the palatine tonsils (PT) and proper anamnesis to early identify patients with tonsillar lymphoma. Case description: Case 1 - 5-year-old girl with a muffled voice noted by her mother and a report of "feeling a strange sensation in the throat" for two weeks. She was previously treated in another service at the beginning of the symptoms with amoxicillin without improvement. An important increase in the right PT was noted, with smooth surface and absence of crypts. The diagnosis of non-Hodgkin lymphoma (NHL) was confirmed after surgery. On further investigation, positive mesenteric lymph nodes were noted. Case 2 - 11-year-old girl came to the emergency service to investigate a painless nodule in the left palatine tonsil with progressive growth for one year, without other complaints. She had previously undergone other medical consultations, but no importance was given to the patient's complaint. Oroscopy showed that the left PT was increased crossing the midline and with a nodule in the upper pole. Patient also had NHL. Comments: A detailed examination of the oral cavity and neck is essential to identify suspicious tonsillar lymphoma. Patients with unilateral tonsillar enlargement and other findings suggestive of malignancy should undergo tonsillectomy. 30 2 288 291 Cinar, F., Significance of asymptomatic tonsil asymmetry (2004) Otolaryngol Head Neck Surg, 131, pp. 101-103 Berkowitz, R.G., Mahadevan, M., Unilateral tonsillar enlargement and tonsillar lymphoma in children (1999) Ann Otol Rhinol Laryngol, 108, pp. 876-879 Sengupta, S., Pal, R., Clinicopathological correlates of pediatric head and neck cancer (2009) J Cancer Res Ther, 5, pp. 181-185 Mohammadianpanah, M., Omidvai, S., Mosalei, A., Ahmadloo, N., Treatment results of tonsillar lymphoma: A 10-year experience (2005) Ann Hemato, 84, pp. 223-226 Gianvecchio, R.P., Tan, D.M., Yamamoto, E., Rodrigues, F.C., Cunha, G.A., Baldelin, C.G., Burkitt's lymphoma in child with aids (2003) Rev Paul Pediatr, 21, pp. 99-103 Brodsky, L., Poje, C.P., Tonsilite, tonsilectomia e adenoidectomia (2009) Otorrinolaringologia: Cirurgia De Cabeça E Pescoço, pp. 161-164. , In: Bailey BJ, Johnson JT, editors, 4 th ed. Philadelphia: Lippincott Williams & Wilkins Sturn-O'Brien, A.K., Hicks, J.M., Giannoni, C.M., Sulek, M., Friedman, E.M., Optimal utilization of histopathologic analysis of tonsil and adenoid specimens in the pediatric population (2010) Int J Pediatr Otorhinolaryngol, 74, pp. 161-163 Tobias, G.S., Palomar, A.V., Borràs, P.M., Pérez, H.I., Ruiz, G.A., Palomar, G.V., Clinical significance of unilateral tonsillar enlargement (2009) Acta Otorrinolaringol Esp, 60, pp. 194-198 Ballin, A.C., Koerner, H.N., Ballin, C.H., Pereira, R., Alcântara, L.J., Taques, G.R., Palatine tonsils asymmetry: 10 years experience of the Otorhinolaryngology service of the clinical hospital of the Federal University of Paraná (2011) Arq Int Otorrinolaringol, 15, pp. 67-71 Broughton, S., McClay, J.E., Murray, A., Timmons, C., Sommeraurer, J., Andrews, W., The effectiveness of tonsillectomy in diagnosing lymphoproliferative disease in pediatric patients after liver transplantation (2000) Arch Otolaryngol Head Neck Surg, 126, pp. 1444-1447 Qi, J., Fan, X., Wang, C., Ma, J., Tang, H., Unilateral tonsillar enlargement and malignant tonsillar lymphoma (2002) Lin Chuang Er Bi Yan Hou Ke Za Zhi, 16, pp. 469-470 Dolev, Y., Daniel, S.J., The presence of unilateral tonsillar enlargement in patients diagnosed with palatine tonsil lymphoma: Experience at a tertiary care pediatric hospital (2008) Int J Pediatr Otorhinolaryngol, 72, pp. 9-12