Clinical Medicine
Shabnam Noei Alamdary; Shahram Ghasembaglou
Abstract
The main indications for tonsillectomy are recurrent infection, pre-tonsillar abscess, and obstructive sleep apnea and suspected malignancy. Incisional biopsy or Excisional biopsy is needed when a tonsillectomy is examined for suspected malignancy. According to the above, the purpose of this study is ...
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The main indications for tonsillectomy are recurrent infection, pre-tonsillar abscess, and obstructive sleep apnea and suspected malignancy. Incisional biopsy or Excisional biopsy is needed when a tonsillectomy is examined for suspected malignancy. According to the above, the purpose of this study is to evaluate the clinical results and pathological findings of tonsillectomy samples in people 16 years and younger. This case control study was performed with the participation of 305 patients under 18 years of age who were candidates for tonsillectomy surgery; Samples obtained after surgery were measured using Brodsky criteria and their results were evaluated and compared with pathology results. Surgical indications for 102 patients with symmetrical tonsils, including 46 cases with chronic tonsillitis (1.45%), hypertrophy of the tonsils with obstruction in 24 cases (23.5%), and recurrent infections of the tonsils with hypertrophic palate in 32 patients (4.31). %) Was. Pathologically studied samples in the control group were reactivemphoid hyperplasia in 56 cases (9.54%), lymphoidhyperplasia with fibrosis in 24 cases (23.5%) and chronic tonsillitis in 22 cases (21.5%). Tonsillectomy with indication of chronic tonsillitis and recurrent tonsillitis in patients who are otherwise normal examination is secondary to benign hyperplasia or anatomical factors. Therefore, the presence of asymmetry without suspicious appearance factors and significant signs and symptoms and progressive enlargement of the tonsils and concomitant adenopathy and a history of malignancy or immunodeficiency do not suggest malignancy and have no diagnostic value.
Clinical Medicine
Shabnam Noei Alamdary; Shahram Ghasembaglou
Abstract
Introduction: Statistical study of neck masses and their evaluation and treatment methods have received much attention in journals and reference books. However, due to differences in the range of diseases and diagnostic-therapeutic facilities between different countries, it is necessary to achieve differential ...
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Introduction: Statistical study of neck masses and their evaluation and treatment methods have received much attention in journals and reference books. However, due to differences in the range of diseases and diagnostic-therapeutic facilities between different countries, it is necessary to achieve differential diagnoses of neck masses in Iran through regional studies.Material and Methods: This study was a cross-sectional study that was conducted during 2018-2019 with the participation of 203 patients referred to the ENT clinics of Tabriz University of Medical Sciences. Patients with suspected neck masses underwent sampling and imaging after examination and their results were reported.Results: In neoplastic lesions, the most involvement was in the jugulodysgastric lymphatic chain. In non-neoplastic lesions, the most common site of involvement was the anterior-middle part of the neck. In both sexes, the most common site of neck mass was in the jugulodigastric lymphatic chain, with a prevalence of 20% in men and 22% in women, respectively, with the difference that the percentage of neoplastic lesions in the area in both males and females was 36.86%, respectively and 55%.Conclusion: A complete and frequent clinical examination is necessary in adults who are in their fourth decade of life. FNA is the best method after the examination if the cause of the mass is not known. After eliminating the inflammatory causes, SCC is the most common pathology in men and tuberculosis in women, which is often seen in the jugulodigastric lymph chain and posterior triangle of the neck, respectively.