Jurkiewicz-Lobodzińska Małgorzata, Gerwel Agata, Siewruk-Kalicka Anna
Oddział Otolaryngologiczny Szpitala Miejskiego im. J. Brudzińskiego w Gdyni.
Otolaryngol Pol. 2007;61(3):315-8. doi: 10.1016/S0030-6657(07)70433-X.
The authors present the case of the patient suffering from recurrent bleeding from the palatine tonsil. A visual and tactile examination did not reveal any alteration to the tonsil. Following three recurrent bleeding episodes, we conducted an examination of the vessels (through MRI including vessel option) and consequently ruled out any possible presence of vessel alterations in the tonsil and in the adjacent tissues. Subsequently tonsillectomy was carried out. The histopathological examination revealed the presence of carcinoma in the tonsil's flesh, whereas the mucosa of the tonsil remained unaltered. Over the period of six months the patient had repeatedly been examined by experienced head and neck surgeons, none of whom found any abnormalities in the tonsil. No other symptoms of the tonsil carcinoma were detected in the patient. The authors underscore the rare occurence of the abovementioned symptoms in carcinoma of the tonsil. They note, however, that certain number of patients with the branchiogenic cyst exhibit the abovementioned symptoms of the tonsil carcinoma.
作者介绍了一例腭扁桃体反复出血的患者病例。视诊和触诊未发现扁桃体有任何病变。在三次反复出血发作后，我们对血管进行了检查（通过包括血管成像选项的磁共振成像），从而排除了扁桃体及相邻组织中血管病变的任何可能存在。随后进行了扁桃体切除术。组织病理学检查显示扁桃体实质内存在癌，而扁桃体黏膜未发生改变。在六个月的时间里，该患者多次接受经验丰富的头颈外科医生检查，他们均未发现扁桃体有任何异常。该患者未检测到扁桃体癌的其他症状。作者强调上述症状在扁桃体癌中罕见发生。然而，他们指出一定数量的鳃裂囊肿患者表现出上述扁桃体癌的症状。
