Tonsillitis - Revision history

Michael at 14:24, 6 April 2016

2016-04-06T14:24:58Z

← Older revision		Revision as of 14:24, 6 April 2016
Line 5:		Line 5:
	==General==		==General==
	*Commonly removed (tonsillectomy) when enlarged.		*Commonly removed (tonsillectomy) when enlarged.
			*''Tonsillitis'' is a [[clinical diagnosis]].
	*Very low probability of malignancy (<0.2%) in tonsilectomies in individuals <19 years old if no clinical suspicion.<ref name=pmid15963574>{{Cite journal \| last1 = Erdag \| first1 = TK. \| last2 = Ecevit \| first2 = MC. \| last3 = Guneri \| first3 = EA. \| last4 = Dogan \| first4 = E. \| last5 = Ikiz \| first5 = AO. \| last6 = Sutay \| first6 = S. \| title = Pathologic evaluation of routine tonsillectomy and adenoidectomy specimens in the pediatric population: is it really necessary? \| journal = Int J Pediatr Otorhinolaryngol \| volume = 69 \| issue = 10 \| pages = 1321-5 \| month = Oct \| year = 2005 \| doi = 10.1016/j.ijporl.2005.05.005 \| PMID = 15963574 }}</ref>		*Very low probability of malignancy (<0.2%) in tonsilectomies in individuals <19 years old if no clinical suspicion.<ref name=pmid15963574>{{Cite journal \| last1 = Erdag \| first1 = TK. \| last2 = Ecevit \| first2 = MC. \| last3 = Guneri \| first3 = EA. \| last4 = Dogan \| first4 = E. \| last5 = Ikiz \| first5 = AO. \| last6 = Sutay \| first6 = S. \| title = Pathologic evaluation of routine tonsillectomy and adenoidectomy specimens in the pediatric population: is it really necessary? \| journal = Int J Pediatr Otorhinolaryngol \| volume = 69 \| issue = 10 \| pages = 1321-5 \| month = Oct \| year = 2005 \| doi = 10.1016/j.ijporl.2005.05.005 \| PMID = 15963574 }}</ref>

Michael at 14:24, 6 April 2016

2016-04-06T14:24:31Z

← Older revision		Revision as of 14:24, 6 April 2016
Line 13:		Line 13:
	*Gross exam is considered sufficient if there is no asymmetry if individual younger than 21 years of age.<ref name=pmid14608541>{{Cite journal \| last1 = Williams \| first1 = MD. \| last2 = Brown \| first2 = HM. \| title = The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. \| journal = Hum Pathol \| volume = 34 \| issue = 10 \| pages = 1053-7 \| month = Oct \| year = 2003 \| doi = \| PMID = 14608541 }}</ref>		*Gross exam is considered sufficient if there is no asymmetry if individual younger than 21 years of age.<ref name=pmid14608541>{{Cite journal \| last1 = Williams \| first1 = MD. \| last2 = Brown \| first2 = HM. \| title = The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. \| journal = Hum Pathol \| volume = 34 \| issue = 10 \| pages = 1053-7 \| month = Oct \| year = 2003 \| doi = \| PMID = 14608541 }}</ref>

			===Image====
			<gallery>
			Image:Tonsillectomy tonsils.JPEG\|Tonsils at [[cut-up]]. ([[WC]]/Katotomichelakis ''et al.'')
			</gallery>
	==Microscopic==		==Microscopic==
	Features:		Features:

Michael: /* Sign out */

2016-04-06T14:19:59Z

Sign out

← Older revision		Revision as of 14:19, 6 April 2016
Line 32:		Line 32:

	==Sign out==		==Sign out==
			<pre>
			A. Tonsil, Left, Tonsillectomy:
			- Reactive follicular hyperplasia.
			- Reactive squamous mucosa.

			B. Tonsil, Right, Tonsillectomy:
			- Reactive follicular hyperplasia.
			- Reactive squamous mucosa.
			</pre>

			===Block letters===
	<pre>		<pre>
	A. TONSIL, LEFT, TONSILLECTOMY:		A. TONSIL, LEFT, TONSILLECTOMY:

Michael: /* Gross */

2016-04-06T14:17:32Z

Gross

← Older revision		Revision as of 14:17, 6 April 2016
Line 11:		Line 11:

	Note:		Note:
	*Gross exam is considered sufficient if there is no asymmetry.<ref name=pmid14608541>{{Cite journal \| last1 = Williams \| first1 = MD. \| last2 = Brown \| first2 = HM. \| title = The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. \| journal = Hum Pathol \| volume = 34 \| issue = 10 \| pages = 1053-7 \| month = Oct \| year = 2003 \| doi = \| PMID = 14608541 }}</ref>		*Gross exam is considered sufficient if there is no asymmetry if individual younger than 21 years of age.<ref name=pmid14608541>{{Cite journal \| last1 = Williams \| first1 = MD. \| last2 = Brown \| first2 = HM. \| title = The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. \| journal = Hum Pathol \| volume = 34 \| issue = 10 \| pages = 1053-7 \| month = Oct \| year = 2003 \| doi = \| PMID = 14608541 }}</ref>

	==Microscopic==		==Microscopic==

Michael at 14:13, 6 April 2016

2016-04-06T14:13:32Z

← Older revision		Revision as of 14:13, 6 April 2016
Line 1:		Line 1:
	'''Tonsillitis''' is common and a reason the [[tonsil]]s are removed (tonsillectomy). Malignancy is rare if not suspected; thus, [[tonsil]]s can be considered a [[ditzel]].		'''Tonsillitis''' is common and a reason the [[tonsil]]s are removed (tonsillectomy).

			[[Malignancy]] in tonsils is rare if not suspected; thus, [[tonsil]]s can be considered a [[ditzel]].

	==General==		==General==

Michael at 14:13, 6 April 2016

2016-04-06T14:13:08Z

← Older revision		Revision as of 14:13, 6 April 2016
Line 1:		Line 1:
	'''Tonsillitis''' is common and a reason the ~~tonsils~~ are removed (tonsillectomy). Malignancy is rare if not suspected; thus, [[tonsil]]s can be considered a [[ditzel]].		'''Tonsillitis''' is common and a reason the [[tonsil]]s are removed (tonsillectomy). Malignancy is rare if not suspected; thus, [[tonsil]]s can be considered a [[ditzel]].

	==General==		==General==

Michael at 14:12, 6 April 2016

2016-04-06T14:12:24Z

← Older revision		Revision as of 14:12, 6 April 2016
Line 1:		Line 1:
	~~#redirect~~ [[Ditzels~~#Tonsillitis~~]]		'''Tonsillitis''' is common and a reason the tonsils are removed (tonsillectomy). Malignancy is rare if not suspected; thus, [[tonsil]]s can be considered a [[ditzel]].

			==General==
			*Commonly removed (tonsillectomy) when enlarged.
			*Very low probability of malignancy (<0.2%) in tonsilectomies in individuals <19 years old if no clinical suspicion.<ref name=pmid15963574>{{Cite journal \| last1 = Erdag \| first1 = TK. \| last2 = Ecevit \| first2 = MC. \| last3 = Guneri \| first3 = EA. \| last4 = Dogan \| first4 = E. \| last5 = Ikiz \| first5 = AO. \| last6 = Sutay \| first6 = S. \| title = Pathologic evaluation of routine tonsillectomy and adenoidectomy specimens in the pediatric population: is it really necessary? \| journal = Int J Pediatr Otorhinolaryngol \| volume = 69 \| issue = 10 \| pages = 1321-5 \| month = Oct \| year = 2005 \| doi = 10.1016/j.ijporl.2005.05.005 \| PMID = 15963574 }}</ref>

			==Gross==
			*Symmetrical and equal size.

			Note:
			*Gross exam is considered sufficient if there is no asymmetry.<ref name=pmid14608541>{{Cite journal \| last1 = Williams \| first1 = MD. \| last2 = Brown \| first2 = HM. \| title = The adequacy of gross pathological examination of routine tonsils and adenoids in patients 21 years old and younger. \| journal = Hum Pathol \| volume = 34 \| issue = 10 \| pages = 1053-7 \| month = Oct \| year = 2003 \| doi = \| PMID = 14608541 }}</ref>

			==Microscopic==
			Features:
			*Follicular hyperplasia - see ''[[lymph node pathology]]''.
			*+/-Colonies (clusters) of [[actinomycetes]] in the tonsillar crypts.

			DDx:
			*Non-Hodgkin [[lymphoma]].<ref name=pmid20426908>{{Cite journal \| last1 = Wang \| first1 = XY. \| last2 = Wu \| first2 = N. \| last3 = Zhu \| first3 = Z. \| last4 = Zhao \| first4 = YF. \| title = Computed tomography features of enlarged tonsils as a first symptom of non-Hodgkin's lymphoma. \| journal = Chin J Cancer \| volume = 29 \| issue = 5 \| pages = 556-60 \| month = May \| year = 2010 \| doi = \| PMID = 20426908 }}</ref>
			*Others - see ''[[tonsil]]''.

			==IHC==
			If there is a clinical suspicion - a panel to exclude (small cell) non-Hodgkin lymphomas:
			*CD3.
			*CD20.
			*CD5.
			*CD10.
			*CD23.
			*Cyclin D1.

			==Sign out==
			<pre>
			A. TONSIL, LEFT, TONSILLECTOMY:
			- REACTIVE FOLLICULAR HYPERPLASIA.
			- REACTIVE SQUAMOUS MUCOSA.

			B. TONSIL, RIGHT, TONSILLECTOMY:
			- REACTIVE FOLLICULAR HYPERPLASIA.
			- REACTIVE SQUAMOUS MUCOSA.
			</pre>

			===Without squamous mucosa===
			<pre>
			A. TONSIL, LEFT, TONSILLECTOMY:
			- REACTIVE FOLLICULAR HYPERPLASIA.

			B. TONSIL, RIGHT, TONSILLECTOMY:
			- REACTIVE FOLLICULAR HYPERPLASIA.
			</pre>

			==See also==
			*[[Tonsil]].
			*[[Ditzels]].

			==References==
			{{Reflist\|1}}

	[[Category:Diagnosis]]		[[Category:Diagnosis]]
			[[Category:Ditzels]]

Michael: tweak

2012-03-24T04:40:26Z

tweak

← Older revision		Revision as of 04:40, 24 March 2012
Line 1:		Line 1:
	#redirect [[Tonsillitis]]		#redirect [[Ditzels#Tonsillitis]]

	[[Category:Diagnosis]]		[[Category:Diagnosis]]

Michael: redirect

2012-03-24T04:39:59Z

redirect

New page

#redirect [[Tonsillitis]]

[[Category:Diagnosis]]