Abstract
There have been many reports that favor aggressive systemic treatment with chemotherapy and radiotherapy, even for well-localized lymphomas, avoiding the need for tonsillectomy of the normal tonsil. We report six cases of primary tonsillar lymphoma with a median patient age of 42 years. There were two lymphoma cases with diffuse large cells, two cases with mixed small and large cells, one with small cells and one indeterminate. They were treated with six cycles of chemotherapy and cervical radiotherapy. All patients achieved durable complete remission. Our data agree with previous reports that suggested that primary tonsillar high-grade B-cell NHL has a good prognosis if aggressively treated.
Highlights
Waldeyers ring is the second most common site of extra-nodal lymphomas in the gastrointestinal tract.[1]
We report six cases of primary tonsillar non-Hodgkins lymphoma, diagnosed between March 1986 and July 1996
None of our patients were submitted to tonsillectomy of the normal palatine tonsil because we believed that cervical radiotherapy was enough to prevent local relapse.[2,5,6]
Summary
Gisele Wally Braga Colleoni, José Salvador Rodrigues Oliveira, Antonio Correa Alves, Davimar Miranda Maciel Borducchi, Roberto Araújo Segreto, Onivaldo Cervantes, José Kerbauy. Clinical management of six cases of low-risk primary tonsillar non-Hodgkins lymphoma. Discipline of Hematology and Hemotherapy, Universidade Federal de São Paulo/Escola Paulista de Medicina, São Paulo, Brazil
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