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Carcinoma of the Tonsil

Tonsil Carcinoma


Presentation

  • Here, we present a case report of a pedunculated tonsillar mass in a nearly asymptomatic patient that was present for 2 years prior to removal. Complete surgical excision was achieved and no adjuvant therapy was recommended.[ncbi.nlm.nih.gov]
Collapse
  • Mass effect from these lesions had caused complete collapse of the right jugular vein with apparent thrombosis ( Figure 2A ). The right carotid artery and left jugular and carotid vessels were grossly patent.[hoajonline.com]
Gangrene
  • Case report: A 54-year-old male smoker presented with Raynaud’s phenomenon, proceeding to frank gangrene of the fingers.[dovepress.com]
Soft Tissue Mass
  • The tonsil (soft tissue masses located at the rear of the throat) is the most common host of squamous cell carcinoma of the... Symptoms The symptoms of this disease are: The presence of blood in the saliva.[medanta.org]
Tonsillar Mass
  • Here, we present a case report of a pedunculated tonsillar mass in a nearly asymptomatic patient that was present for 2 years prior to removal. Complete surgical excision was achieved and no adjuvant therapy was recommended.[ncbi.nlm.nih.gov]
  • No discrete tonsillar mass is identified.[ajnr.org]
Tonsillar Mass
  • Here, we present a case report of a pedunculated tonsillar mass in a nearly asymptomatic patient that was present for 2 years prior to removal. Complete surgical excision was achieved and no adjuvant therapy was recommended.[ncbi.nlm.nih.gov]
  • No discrete tonsillar mass is identified.[ajnr.org]
Subcutaneous Nodule
  • . :: References Figures [Figure - 1] This article has been cited by 1 Subcutaneous nodules on the chest: Does the skin metastasis indicate terminal stage of cancer? Özgürsoy, O.B., Karatayli Özgürsoy, S., Okçu Heper, A., Yorulmaz, I.[jpgmonline.com]
  • During clinical examination of the patient multiple subcutaneous nodules were found, mainly in the upper part of the body (over chest, arms, nape of the neck, scalp) [Figure 1b].[jcmtjournal.com]
Otalgia
  • We describe the case of a 52-year-old man with a history of squamous cell carcinoma (SCC) of the tonsil who presented with right subacute otalgia and otorrhea.[ncbi.nlm.nih.gov]
  • The most reported complaints include sore throat, otalgia or dysphagia. Some patients may complain of feeling the presence of a lump in the throat.[en.wikipedia.org]
  • He also denied hoarseness, dysphagia, odynophagia, otalgia, and unintended weight loss. On physical examination, he had a 4.0 cm non-tender, solid, mobile right neck mass at levels II and III.[hoajonline.com]
  • Symptoms and Signs Oropharyngeal cancer symptoms vary slightly depending on the subsite but typically patients present with sore throat, dysphagia, odynophagia, dysarthria, and otalgia.[merckmanuals.com]
Neck Mass
  • The tumor originally presented as a tender left neck mass clinically misdiagnosed as an abscess secondary to infected dental caries.[ncbi.nlm.nih.gov]
  • Methods and results : A 66-year-old male presented with a right neck mass and right base of tongue fullness.[hoajonline.com]
  • Ultrasoundguided fine-needle aspiration of the neck mass revealed the presence of malignant cells.[omicsonline.org]
  • In addition to a neck mass presentation, usually in the jugulodigastric region, other symptoms and signs may develop. These may be in conjunction with a neck mass or may be the only presentation.[emedicine.medscape.com]
Spastic Gait
  • We report the case of a 69-year-old man who initially presented with weakness and spastic gait. He was subsequently found to have a characteristic paraneoplastic tractopathy on thoracic magnetic resonance imaging.[ncbi.nlm.nih.gov]
Unable to Walk
  • However, within a few weeks, the pain increased severely, and the patient was unable to walk or stand without support. Clinically he had a severe tenderness over the lumbar spine.[jcmtjournal.com]

Workup

  • Extensive diagnostic workup revealed selective hypermetabolism of the right tonsil in whole-body PET.[ncbi.nlm.nih.gov]
  • A thorough workup including head and neck imaging, direct laryngoscopy, and tissue biopsy of suspicious lesions is necessary to ensure an accurate diagnosis and proper staging.[hoajonline.com]
  • He underwent a metastatic workup. His chest skiagram showed bilateral, multiple nodular opacities suggestive of metastasis [Figure 1c].[jcmtjournal.com]

Treatment

  • Significant treatment parameters were total dose and overall treatment duration, but not dose per fraction.[ncbi.nlm.nih.gov]

Prognosis

  • Local spread to the base of the tongue and female sex were of marginal significance regarding prognosis.[ncbi.nlm.nih.gov]

Etiology

  • A review of the literature provided some insight into the possible etiology of this unique complication of malignancy.[ncbi.nlm.nih.gov]
  • Etiology and management of inability to open the mouth. Laryngoscope 75: 1234–1258 Google Scholar 3. Fayos JV, Lampe I (1971) Radiation therapy of carcinoma of the tonsillar region. AJR 111: 85–94 Google Scholar 4.[link.springer.com]
  • Conclusion: No definite etiology has been found to be the cause of Raynaud’s phenomenon in this case of the squamous cell carcinoma of the tonsil. A brief discussion of the literature is also presented.[dovepress.com]
  • Jayasooriva P, Tilakaratne W, Mendis B, Lombardi T (2013) A literature review on oral basaloid squamous cell carcinomas, with special emphasis on etiology. AnnDiagnPathol 17: 547-555.[omicsonline.org]
  • Etiology: Alcoholism, smoking, betelnut chewing, Human papilloma virus infections have been attributed. A diet deficient in fruits and vegetables have also been attributed in susceptible patients.[drtbalu.co.in]

Epidemiology

  • Human papillomavirus in HNSCC: a European epidemiologic perspective, Hematol Oncol Clin North Am, 2008 , vol. 22 6 (pg. 1143 - 1153 ) 7.[academic.oup.com]
  • Epidemiology Frequency Malignancy of the tonsils is an uncommon entity that accounts for little more than 0.5% of new malignancies in the United States every year.[emedicine.medscape.com]
  • Interestingly, epidemiologic data describes smoking as an independent risk factor for the development of OPSCCA in general, but not specifically the development of HPV-associated OPSCCA [ 56 ].[cancersheadneck.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology Usually commence as a unilateral, hard, nodular enlargement plaque-like ulcer or large irregular mass diffuse infiltration of local tissue rapid spread to local lymph nodes (mandibular, retropharyngeal) producing gross node enlargement[vetstream.com]
  • […] directly associated to cause oral cancers. [9] It has also been stated under the FDA poisonous plant data base by the U.S Food and Drug Administration [10] An unbalanced diet, deficit in fruits and vegetables has shown to increase the risk of cancer. [11] Pathophysiology[en.wikipedia.org]
  • The symptoms, diagnosis, and pathophysiology of this cancer is beyond the scope of this blog.[swedish.org]
  • Pathophysiology Tonsillar SCC may be confined to the tonsillar fossa, but extension to adjacent structures is common. Carcinoma commonly spreads along the glossotonsillar sulcus to involve the tongue base to a variable degree.[emedicine.medscape.com]

Prevention

  • Prevention There are no prevention measures that are medically or scientifically designed by any experts to exercise, but there are some safety measures that everybody should follow in order to avoid this disorder: Making healthy lifestyle choices.[medanta.org]
  • Cancer Connect 3 days Overview of Melanoma Melanoma: Signs & Symptoms, Diagnosis, Screening, Prevention & Early Detection Cancer Connect 3 days Sunscreen May Reduce Risk of Melanoma Regular use of sunscreen may help prevent melanoma.[news.cancerconnect.com]
  • Tips to prevent tonsil cancer The best way to prevent cancer in the tonsils is to quit smoking any tobacco products or marijuana. Not chewing tobacco or using snuff also helps. Smoking is the largest cause of cancers in the head and neck.[healthline.com]
  • Centers for Disease Control and Prevention.[cancercenter.com]
  • HPV vaccination trials are under way for prevention and treatment of HPV-related cancers.[clincancerres.aacrjournals.org]

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