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Unilateral tonsillar enlargement.

E A Cortez, D E Mattox, G R Holt

    Otolaryngology and Head and Neck Surgery
    |November 1, 1979
    PubMed
    Summary
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    Unilateral tonsillar enlargement can stem from various causes, including infection or inflammation. However, neoplastic diseases like lymphoma and carcinoma are critical considerations, necessitating thorough diagnosis.

    Area of Science:

    • Otolaryngology
    • Oncology
    • Pathology

    Background:

    • Unilateral tonsillar enlargement presents a diagnostic challenge.
    • Potential causes include infection, inflammation, and neoplasms.
    • Common neoplasms include lymphomas and squamous cell carcinomas.

    Purpose of the Study:

    • To review cases of unilateral tonsillar enlargement not caused by squamous cell carcinoma.
    • To emphasize the importance of considering neoplastic disease in unilateral tonsillar enlargement.

    Main Methods:

    • Review of sixteen cases of unilateral tonsillar enlargement.
    • Analysis of etiologies excluding squamous cell carcinoma.

    Main Results:

    • Identified various neoplastic causes beyond squamous cell carcinoma.

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  • Highlighted lymphomas, extramedullary plasmacytomas, Hodgkin's disease, leukemia, and metastatic neoplasms as potential causes.

    • Conclusions:

    • Neoplastic disease must be considered in patients with unilateral tonsillar enlargement.
    • Differential diagnosis should include a range of tumors beyond squamous cell carcinoma.