Colchester General Hospital, Turner Road, Colchester CO4 5JL, UK.
Eur Arch Otorhinolaryngol. 2012 Jan;269(1):255-9. doi: 10.1007/s00405-011-1586-y. Epub 2011 Apr 3.
We present the first dedicated case series of bilateral synchronous tonsillar carcinoma and discuss the role of bilateral tonsillectomy as a diagnostic tool. The occurrence of multiple head and neck tumours is well recognised; however, reports of bilateral synchronous tonsillar carcinoma are rare. A literature review reveals only 12 cases of bilateral synchronous tonsillar carcinoma described in the international literature in the past 15 years. We present a further three cases confirmed following bilateral tonsillectomy. In conclusion, bilateral tonsillectomy has in many centres been established as a standard diagnostic and therapeutic procedure for patients who have cervical metastases from a head and neck cancer of unknown primary site. It is likely the true incidence of bilateral synchronous tonsillar carcinoma is underestimated and under-reported. We recommend bilateral tonsillectomy for patients with suspected or proven unilateral tonsillar carcinoma as well as those with cervical metastases from unknown primary site.
我们提出了首例双侧扁桃体癌的专门病例系列，并讨论了双侧扁桃体切除术作为诊断工具的作用。 众所周知，头部和颈部的多种肿瘤的发生是很常见的；但是，双侧扁桃体癌的报道却很少。文献回顾显示，在过去的 15 年中，国际文献中仅描述了 12 例双侧扁桃体癌。我们又报告了另外 3 例经双侧扁桃体切除术证实的病例。总之，在许多中心，双侧扁桃体切除术已被确立为标准的诊断和治疗程序，适用于那些因不明原发灶的头颈部癌症而出现颈部转移的患者。双侧扁桃体癌的真实发病率可能被低估和漏报。我们建议对疑似或确诊的单侧扁桃体癌患者以及因不明原发灶而出现颈部转移的患者进行双侧扁桃体切除术。
