Syphilitic tonsillitis presenting as an ulcerated tonsillar tumor with ipsilateral lymphadenopathy

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dc.contributor.authorOddo, David
dc.contributor.authorCarrasco, Gonzalo
dc.contributor.authorCapdeville, Felipe
dc.contributor.authorAyala, Maria Fernanda
dc.date.accessioned2024-01-10T12:09:08Z
dc.date.available2024-01-10T12:09:08Z
dc.date.issued2007
dc.description.abstractWe describe a 49-year-old man who presented with a cervical mass of a week's evolution, which clinically mimicked a tumoral expansion. Physical examination showed a left cervical mass of 6 x 4 x 2 cm, associated to a left ulcerated tonsillar tumor. The presumptive diagnosis was a tonsillar cancer with lymph node involvement. An amygdalectomy and a frozen section biopsy of the cervical tumor were performed. The biopsy displayed a reactive lymphadenopathy with follicular and interfollicular hyperplasia rich in plasma cells, epithelioid areas, and an outstanding parcel fibrosis of subcapsular, interfollicular, and perifollicular distribution associated to an isolated focus of polymorphonuclear leukocytes and obliterative parietal angiovascular proliferation. The tonsil presented a similar but ulcerated process. These results suggested an infectious reactive process, probably luetic. A Warthin-Starry stain revealed spirochetes in the tonsillar ulcer. Laboratory examinations revealed a positive VDRL test and negative serology for HIV. In conclusion, a primary syphilis of the oropharyngeal tonsil with a syphilic lymphadenopathy was diagnosed. The literature about tonsillar syphilis is reviewed. (C) 2007 Elsevier Inc. All rights reserved.
dc.fechaingreso.objetodigital2024-03-19
dc.format.extent5 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.anndiagpath.2006.04.002
dc.identifier.issn1092-9134
dc.identifier.pubmedidMEDLINE:17870023
dc.identifier.urihttps://doi.org/10.1016/j.anndiagpath.2006.04.002
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76461
dc.identifier.wosidWOS:000249936800009
dc.information.autorucMedicina;Oddo C;S/I;102247
dc.issue.numero5
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final357
dc.pagina.inicio353
dc.publisherELSEVIER SCIENCE INC
dc.revistaANNALS OF DIAGNOSTIC PATHOLOGY
dc.rightsacceso restringido
dc.subjectsyphilis of the tonsil
dc.subjectprimary syphilis of the tonsil
dc.subjectsyphilitic lymphadenopathies
dc.subjectSECONDARY SYPHILIS
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSyphilitic tonsillitis presenting as an ulcerated tonsillar tumor with ipsilateral lymphadenopathy
dc.typeartículo
dc.volumen11
sipa.codpersvinculados102247
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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