Journal of Otology & RhinologyISSN: 2324-8785

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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: [email protected]
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.

Keywords: Head and neck neoplasms; Tonsillar neoplasms; Neoplasm staging; Neoplasms; Second Primary Carcinoma; Squamous cell

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