Aydin A, Erkiliç S, Bayazit Y A, Koçer N E, Ozer E, Kanlikama M
Faculty of Medicine, Gaziantep University, Department of Pathology, 27310 Gaziantep, Turkey.
Rev Laryngol Otol Rhinol (Bord). 2005;126(2):95-8.
To find out the incidence of actinomyces in the palatine tonsil of the adult and pediatric patients, and evaluate our results relevant to the clinical diagnoses and histopathological features of tonsillectomy specimens.
The medical records of 1820 tonsillectomies, which were performed in the Department of Otolaryngology between 1987 and 2002 were retrospectively reviewed. The paraffin embedded specimens of the patients were also obtained for histopathologic assessment, and Hematoxylin-Eosin stained sections re-evaluated mainly for cryptitis and actinomycosis.
There was actinomyces in 122 (6.7%) of 1820 patients, of whom 62 were adult and 60 were pediatric patients. That is, actinomyces was present in 62 (10.9%) of 568 adult patients, and 60 (4.8%) of 1252 pediatric patients. The rate of actinomyces was significantly higher in adults than children (p < 0.01). There was no correlation between the clinical diagnoses and the histopathologic parameters assessed (p > 0.05). On histopathology, the cryptitis was encountered in 53 (85%) of 62 adult patients and 47 (78%) of 60 pediatric patients with actinomyces (p > 0.05). The rate of cryptitis was significantly higher in the presence of actinomyces both in adult and pediatric patients (p < 0.05).
There was no correlation between the clinical diagnosis of tonsillar disease and the presence of actinomycosis both in adult and pediatric patients. Histopathologic findings of adult and pediatric tonsillectomy material was similar except for the higher rate of actinomycosis in the adults than in children. However, cryptitis was a substantial finding in the presence of actinomycosis. Based on the significant association of cryptitis with actinomycosis, cyptitis can be considered a histopathologic indicator for tonsillar actinomycosis.
了解成人和儿童患者腭扁桃体中放线菌的发生率，并根据扁桃体切除标本的临床诊断和组织病理学特征评估我们的结果。
回顾性分析1987年至2002年在耳鼻喉科进行的1820例扁桃体切除术的病历。还获取了患者的石蜡包埋标本进行组织病理学评估，苏木精-伊红染色切片主要重新评估隐窝炎和放线菌病。
1820例患者中有122例（6.7%）存在放线菌，其中成人62例，儿童60例。也就是说，568例成人患者中有62例（10.9%）存在放线菌，1252例儿童患者中有60例（4.8%）存在放线菌。成人放线菌发生率明显高于儿童（p < 0.01）。临床诊断与评估的组织病理学参数之间无相关性（p > 0.05）。组织病理学上，62例成人放线菌患者中有53例（85%）出现隐窝炎，60例儿童放线菌患者中有47例（78%）出现隐窝炎（p > 0.05）。成人和儿童患者中，放线菌存在时隐窝炎发生率均明显更高（p < 0.05）。
成人和儿童扁桃体疾病的临床诊断与放线菌病的存在均无相关性。成人和儿童扁桃体切除材料的组织病理学结果相似，只是成人放线菌发生率高于儿童。然而，隐窝炎是放线菌病存在时的一个重要发现。基于隐窝炎与放线菌病的显著关联，隐窝炎可被视为扁桃体放线菌病的组织病理学指标。
