TONSİLLEKTOMİ VE ADENOİDEKTOMİ YAPILAN OLGULARIN RETROSPEKTİF İNCELENMESİ VE KARŞILAŞTIRMALI KLİNİKOPATOLOJİK ANALİZİ

Amaç: Bu retrospektif çalışmayla, kliniğimizde tonsillektomi, adenoidektomi veya adenotonsillektomi uygulanan hastalarda malignite oranını saptamayı, yetişkinlerin ve çocukların histopatolojik analizlerini yaparak klinik bulgularıyla ilişkilendirmeyi amaçladık. Yöntem: 2017-2019 yılları arasında kliniğimizde opere edilen 288 adenoidektomi, tonsillektomi ve adenotonsillektomi olgusunun histopatolojik örnekleri, retrospektif olarak toplandı ve klinik verilerle tekrar değerlendirildi. Bulgular: Tüm olguların %12,8'inde (n=37) malignite şüphesi vardı ve bunların çoğu (n=33) tonsillektomi grubunda idi. Reaktif lenfoid hiperplazi, tüm olgularda (%92,7) en sık tanı olmasına rağmen, 11 (%3,8) olguya benign / malign neoplazm tanısı konuldu. Tüm olgularda malignite oranı %2,1 (6/288) iken, tonsillektomi yapılan olgularda %8,8 (6/68) bulundu. Tüm maligniteler, sadece yetişkinlerde, tonsillektomi yapılan olgularda saptandı. Sonuç: Adenotonsiller ameliyatların histopatolojik raporlarla korelasyonu yapılan bu retrospektif analiz, erişkin hastalarda, tonsil neoplazm insidansının, daha önce yayınlanan verilerden daha yüksek olduğunu göstermiştir. Ülserasyon, nekroz, tonsiller büyüme gibiklinik malignite şüpheli, cerrahi endikasyonu olan tonsil dokularında, histopatolojik değerlendirme yapılması gerekliliği açıkça görülmektedir. Bu sonuçlar, yetişkinlerde, tonsillektomi öncesi, klinik olarak yüksek malignite şüphesi olmasına bakılmaksızın, rutin bir histopatolojik incelemeye ihtiyaç duyulduğu gerçeğiyle uyumludur.

A COMPARATIVE CLINICOPATHOLOGIC ANALYSIS OF TONSILLECTOMY AND ADENOIDECTOMY CASES: A RETROSPECTIVE STUDY

Objective: In this retrospective study, we aimed to determine the rate of malignancy detected in patients who underwent tonsillectomy,adenoidectomy or adenotonsillectomy in our clinic, and to correlate the clinical findings of adults and children by giving their histopathologicalanalysis.Methods: Histopathological specimens of 288 adenoidectomy, tonsillectomy and adenotonsillectomy cases operated in our clinic between years of2017-2019 were collected retrospectively and re-evaluated with clinical data.Results: Malignancy was suspected clinically in 12.8% (n=37) of all cases, and most of them (n=33) were in tonsillectomy group. Although reactivelymphoid hyperplasia was a common diagnosis among all cases (92.7%), 11 (3.8%) patients were diagnosed as a benign/malign neoplasm. Themalignancy rate among all cases was found to be 2.1% (6/288), among tonsillectomy cases was 8.8% (6/68). All malignancies were detected amongtonsillectomy cases in adults.Conclusion: This retrospective analysis of adenotonsillar surgeries correlated with histopathological findings showed that the incidence of tonsilneoplasm in adult patients is higher than the previously published data. In the tonsillar tissues presenting with a surgical indication of clinicalsuspicion for malignancy such as ulceration and necrosis, and of enlargement of tonsils, a histopathological evaluation are obviously warranted.These results are in agreement with that a routine histopathological examination is needed to be regardless of the clinically presence of highmalignancy suspicion prior to tonsillectomy in adults.

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