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Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report

RATIONALE: Many previous studies have investigated the necessity of routine histopathological analysis of tonsillectomy specimen, and most recent studies have suggested that such an analysis is not justified in asymptomatic patients or those with no risk factors for malignancy. PATIENT CONCERNS: A 5...

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Autores principales: Park, Donghwi, Lee, Byung Joo, Go, Minchul, Kim, Jung-Soo, Heo, Sung Jae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440168/
https://www.ncbi.nlm.nih.gov/pubmed/32358351
http://dx.doi.org/10.1097/MD.0000000000019793
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author Park, Donghwi
Lee, Byung Joo
Go, Minchul
Kim, Jung-Soo
Heo, Sung Jae
author_facet Park, Donghwi
Lee, Byung Joo
Go, Minchul
Kim, Jung-Soo
Heo, Sung Jae
author_sort Park, Donghwi
collection PubMed
description RATIONALE: Many previous studies have investigated the necessity of routine histopathological analysis of tonsillectomy specimen, and most recent studies have suggested that such an analysis is not justified in asymptomatic patients or those with no risk factors for malignancy. PATIENT CONCERNS: A 59-year-old man diagnosed with obstructive sleep apnea underwent surgery, including tonsillectomy; a tonsil specimen was sent to the department of pathology. DIAGNOSIS: Although the patient did not exhibit any tonsil-related signs or symptoms, nor did the appearance of the tonsil appear to be pathological, the right tonsil specimen was diagnosed with squamous cell carcinoma, with detection of human papilloma virus 16. INTERVENTIONS: Chemotherapy and radiotherapy were used to treat the tonsil cancer. OUTCOMES: No recurrence was observed during the 4-year follow-up. LESSONS: In the future, it may be necessary to reinvestigate the necessity of routine histopathological analysis of tonsillectomy specimens in asymptomatic patients, considering the drastically increased rate of detection of human papilloma virus-related oropharyngeal squamous cell carcinomas in these patients.
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spelling pubmed-74401682020-09-04 Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report Park, Donghwi Lee, Byung Joo Go, Minchul Kim, Jung-Soo Heo, Sung Jae Medicine (Baltimore) 6000 RATIONALE: Many previous studies have investigated the necessity of routine histopathological analysis of tonsillectomy specimen, and most recent studies have suggested that such an analysis is not justified in asymptomatic patients or those with no risk factors for malignancy. PATIENT CONCERNS: A 59-year-old man diagnosed with obstructive sleep apnea underwent surgery, including tonsillectomy; a tonsil specimen was sent to the department of pathology. DIAGNOSIS: Although the patient did not exhibit any tonsil-related signs or symptoms, nor did the appearance of the tonsil appear to be pathological, the right tonsil specimen was diagnosed with squamous cell carcinoma, with detection of human papilloma virus 16. INTERVENTIONS: Chemotherapy and radiotherapy were used to treat the tonsil cancer. OUTCOMES: No recurrence was observed during the 4-year follow-up. LESSONS: In the future, it may be necessary to reinvestigate the necessity of routine histopathological analysis of tonsillectomy specimens in asymptomatic patients, considering the drastically increased rate of detection of human papilloma virus-related oropharyngeal squamous cell carcinomas in these patients. Wolters Kluwer Health 2020-05-01 /pmc/articles/PMC7440168/ /pubmed/32358351 http://dx.doi.org/10.1097/MD.0000000000019793 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6000
Park, Donghwi
Lee, Byung Joo
Go, Minchul
Kim, Jung-Soo
Heo, Sung Jae
Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report
title Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report
title_full Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report
title_fullStr Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report
title_full_unstemmed Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report
title_short Unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: A case report
title_sort unexpected occult malignancy diagnosed during tonsillectomy surgery for obstructive sleep apnea: a case report
topic 6000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440168/
https://www.ncbi.nlm.nih.gov/pubmed/32358351
http://dx.doi.org/10.1097/MD.0000000000019793
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