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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.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se puede realizar control estricto ante una asimetría amigdalina, aunque cuando hay factores de riesgo debemos indicar amigdalectomía.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Isolated tonsillar sarcoidosis manifested as asymmetric palatine tonsils" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G.C. Compadretti" 1 => "R. Nannini" 2 => "I. 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Journal Information
Clinical significance of unilateral tonsillar enlargement
Significación clínica de la asimetría amigdalina
Susanna Tobias Gómez
, Víctor Palomar Asenjo, Montserrat Borràs Perera, Isabel Pérez Hernández, Antonio Ruiz Giner, Víctor Palomar García
Corresponding author
Servicio de Otorrinolaringología, Hospital Universitari Arnau de Vilanova, Lleida, Spain