Simple Excision Research Articles

English

Glomus tumour is a rare soft tissue neoplasm arising from glomus body, which is in an arteriovenous anastomosis located particularly in the dermis. This tumour occurs most commonly in hands and feet, and is seldom found in other sites. The purpose of this report is to describe an unusual case of glomus tumour in the lip. A 17-year-old woman with a firm, painless and ulcerated lump in her lower lip was admitted to our clinic. Excisional biopsy was performed, and histopathological analysis revealed the lesion to be a subtype of glomus tumour called as a glomangioma. Most glomus tumours are benign and may be treated by simple surgical excision. A typical glomus tumour of the hand is readily diagnosed, but it may occur anywhere such as oral cavity or internal organs, and its small size and atypical anatomical site presents a diagnostic dilemma. Therefore, a glomus tumour should be considered in the differential diagnosis of mass in the lips. Glomus tumour was first mentioned by Wood as a painful subcutaneous tubercle.1,2 It is classified as a pericystic (perivascular) tumour by the World Health Organization. Perivascular tumours are most frequently noticed in the superficial soft tissues at any age and are not seen commonly in the oral cavity. Synonyms for glomus tumour include glomangioma, glomangiomyoma, glomangiomatosis, glomangiopericytoma, and Popoff tumour. 3 Glomus tumour is presumed to arise from glomus body, which may be defined as a special arteriovenous anastomosis located in the stratum reticular of the dermis. It is lined by smooth muscle and glomus cells.4 The glomus body has been implicated in playing a role in thermal regulation.5 It is ubiquitous but digits are the most common sites. Clinically, the lesion is usually seen as a painful nodule located in the nail bed of the distal phalanges. Occurrence in the oral cavity is particularly rare. In this article, we present a rare case of glomus tumour located in the lower lip mimicking a malignant tumour.

Muffin Technique Micrographic Surgery for Non-melanoma Skin Cancer.

Background: Mohs micrographic surgery (MMS) is the gold standard treatment for high-risk facial non-melanoma skin cancer. However, patients' access to MMS is limited by cost. The muffin technique micrographic surgery (MTMS) is an alternative micrographic technique wherein the entire excised margin is evaluated post-operatively by a pathologist using paraffin-embedded material. Herein, we describe the implementation and the preliminary results of MTMS in an academic dermatology center.Objective: To describe the MTMS and outline its efficacy and safety in a real-world clinical academic setting.Methods: A retrospective chart review was conducted of all patients with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) who underwent MTMS at the University of Alberta Dermatology Center from June 2016 until July 2019.Results: A total of 69 patients were included (64 BCCs and 5 SCCs). 68.1% of surgeries had clear margins following the first incision, 100% after second round re-excisions. There were no observed cases of tumor recurrence after a median 40 months of follow-up. There were no major adverse events or complications.Conclusions: MTMS is a superior alternative to simple excision of skin cancer by providing full margin control and residual tumor mapping.

Evaluation and Management of Common Accessory Ossicles of the Foot and Ankle in Children and Adolescents.

Accessory ossicles are a common radiographic finding about the foot and ankle in children and adolescents. They are often noted incidentally during evaluation of foot and ankle injuries, and most can be managed nonsurgically. Although over 20 accessory ossicles have been described around the foot and ankle, five specific structures generate the most concern in pediatric patients. An accessory navicular presents commonly with medial midfoot pain and may require surgical intervention after failure of nonsurgical treatment. Although an accessory navicular can be treated surgically with simple excision, there is some recent evidence that supports concomitant reconstruction of associated flatfoot deformities. Os trigonum, an ossicle posterior to the talus, is also commonly asymptomatic. However, os trigonum may be associated with persistent posterior ankle pain, and open and endoscopic resection techniques are successful. Os subfibulare is an uncommon ossicle that may be associated with recurrent ankle sprains. Recent literature reports successful return to activities after ossicle excision and ligament reconstruction. Os subtibiale may be confused with a medial malleolar fracture in skeletally immature patients. Os peroneum may contribute to lateral midfoot pain.

Modern surgical strategies in the management of complex ureteral strictures.

The purpose of this article is to outline the various therapeutic options of ureteral strictures. Ureteral strictures with consecutive hydronephrosis can be due to endourological and surgical procedures, inflammatory processes, radiation therapy as well as spontaneous passage of ureteral calculi. When planning surgical correction, stricture length, anatomical location as well as patients' characteristics like age, comorbidities and previous treatment in the peritoneal cavity, retroperitoneum or pelvis should be taken into consideration. Treatment options include not only surgical reconstruction techniques like simple stricture excision, end-to-end anastomosis, ureterolysis with omental wrapping, ureteroneoimplantation, renal autotransplantation and ureter-ileum replacement, but also minimally invasive procedures such as self-expandable thermostents and pyelovesical bypass prosthesis. Various therapeutic options can be offered in the treatment of ureteral strictures, potentially leading to long-term success rate of more than 90% and a rate of significant complications < 5%.

Recurrent Cutaneous Adenoid Cystic Carcinoma of Forehead

Adenoid Cystic Carcinoma (ACC) is a malignant tumour more commonly seen in salivary glands and rarely arises from the skin as adnexal tumour. Cutaneous ACC is a rare malignant adnexal tumour of eccrine origin. It has an indolent course and rarely metastasizes. Hereby, authors report a case of 48-year-old male with complaints of swelling on right forehead present for the past four years. Clinical diagnosis of infected sebaceous cyst was made and excised with simple excision. The swelling reappeared within 15 days of first surgery. The cytological examination of the swelling revealed abundant cellularity with predominantly cohesive clusters of monomorphic population of cells centered around eosinophilic hyaline globules suggestive of ACC. Retrieval of previous biopsy report revealed diagnosis of ACC reaching the margins of excision, the report of which was neither collected by either operating surgeon nor by the patient. Histopathological examination revealed classical cribriform pattern of arrangement of tumour cells with perineural infiltration by tumour cells. Immunohistochemistry further confirmed the diagnosis. The present case report brings out the importance of clearance of surgical margins in malignant tumours, including skin adnexal tumours. It also highlights the importance of histopathological examination of benign looking skin adnexal tumours.

Nodular melanoma of the external ear: a rare tumour successfully treated with simple excision.

Nodular melanoma of the external ear: a rare tumour successfully treated with simple excision.

Comparison Study between Intralesional Injection of MMC with Bare Sclera Excision of Pterygium and Conjunctiva Auto Grafting Technique

Background: Pterygium is a fibrovascular tissue that abnormally invades the cornea from the conjunctiva. Aim of the work: Comparison Bare sclera technique of pterygium excision immediately after injecting it with MMC and conjunctival autografting without using MMC regarding recurrence rate and other complications. Methods: This prospective interventional study included 40 cases of pterygia from September 2017 to March 2019. cases were divided into two groups: Group 1 included 20 eyes received 0.1 ml [0.01%] of intrapterygial mitomycin-C [MMC] injection, then excision with bare scleral Group 2 included 20 eyes with simple excision then covering the bare sclera with a conjunctival autograft from superior bulbar conjunctiva. Results: The mean age was 45.175 and 45.4 years in Group 1 and 2, respectively, [P = .527]. There were 7 [35%] males and 13 [65%] females in Group 1 and 8 [40%] males and 12 [60%] females in Group 2 [P = .744]. The regression rate was 5% in each Groups [P = 1]. Postoperatively, scleral hypo vascularity occurred in 5 eyes [25%] in Group 1 while never in Group 2 [P = .009]. Graft necrosis noticed in 2 cases [10%] in group 2. Conclusion: Both techniques resulted in a negligible [5%] recurrence rate. Although conjunctival graft with a significant reduction of complications as scleral hypo vascularity but with more surgical time.

Pilonidal Sinus, Minimal Excision and Simple Direct Closure Versus Wide Local Excision and Flap Reconstruction

A pilonidal sinus is a sinus that contains hair, primarily in the sacrococcygeal region, due to preferring conditions like: The presence of a profound natal split and the presence of hair inside the separated, perspiring, maceration, bacterial tainting, and entrance of hair. The point of this examination was to analyze between the results of insignificant extraction of pilonidal sinus lot with basic direct conclusion versus wide extraction with rotational rhomboid fold conclusion. This investigation included 50 patients experiencing 1ry non intermittent sacrococcygeal pilonidal sinus. They were arbitrarily partitioned into 2 gatherings. The primary gathering (25 patients) was exposed to negligible extraction of the pilonidal sinus plot and straightforward direct conclusion while patients of the subsequent gathering (25 patients) were exposed to wide neighborhood extraction and rotational rhomboid fold reproduction. there were no critical contrasts among the two gatherings as for age or sex conveyance. Likewise no critical distinction in contamination, seroma, disturbance and repeat rates yet insignificant extraction of the pilonidal sinus parcel and straightforward direct conclusion was altogether more limited in usable time, Post-employable clinic stay, recuperating time and early re-visitation of work. The natal separated in the rhomboid fold gathering can be leveled, and tissue can be approximated without strain. rhomboid fold procedure in pilonidal sinus medical procedure almost equivalent in the vast majority of static's to insignificant extraction of the pilonidal sinus plot and basic direct conclusion in1ry non repetitive sacrococcygeal pilonidal sinus.

The Impact of Post-Mastectomy Radiotherapy on Delayed Alloplastic Breast Reconstruction - Experience of One Center.

Nowadays, breast cancer treatment spans from simple lesion excision to complex management including surgery (mastectomy with or without axillary lym-phadenectomy) and adjuvant treatment (chemotherapy, radiotherapy, hormonal therapy and im-munotherapy). Lately, breast reconstruction has become part of the breast cancer approach, but, while its physical and emotional benefits are undisputed, it comes with its own set of risks and complications, especially when delayed breast reconstruction after radiotherapy is performed. This paper aims to present our experience on the effects of radiotherapy in conjunction with de-layed alloplastic breast reconstruction. We conducted a retrospective study on 16 patients with mastec-tomy for breast cancer, for whom delayed breast reconstruction was chosen. Depending on the existence of postmastectomy radiotherapy, patients were assigned to one of two groups: group 1 consisted of eight patients that received adjuvant radiotherapy and group 2 of eight patients that did not. We collected a series of data (sociodemographic, type of reconstructive intervention, adjuvant therapies, etc.) and afterwards we analyzed the cases in which complications occurred. Results: The number and severity of complications after breast reconstruction was higher in the adjuvant radiotherapy patient group. Seven patients had complications, three of those were major: one TRAM flap partial necrosis, one expander extrusion and one chest wall cellulitis. The therapeutic approach was surgical debridement and secondary reconstruction with latissimus dorsi flap. We noted only one major complication (expander extrusion) in the no-radiotherapy group. Conclusions: Despite the vast array of reconstructive surgical techniques at our disposal, there is still no clear protocol regarding breast reconstruction in patients receiving radiation thera-py. The majority of patients tend to opt for the simplest intervention, i.e. expander-implant recon-struction, which is usually accompanied by complications when combined with radiotherapy. Comprehensive and open communication between oncologist, radiotherapist, plastic surgeon and patient ensures optimal results.

Lesions of pinna in a tertiary care hospital in Dakshina Kannada

Introduction and Aim: Most of the lesions affecting pinna are cutaneous conditions. Those arising from the cartilage are extremely rare, whereas those from the soft tissue like vascular, stromal and adnexal components are relatively common. The present study aims at analysing the proportion, types, and categories of lesions affecting the pinna.&#x0D; Methods: Following institutional ethics committee approval, a retrospective analysis of medical records of 40 patients who underwent surgical excision of pinna lesions from 2006 to 2018 was conducted at a tertiary care hospital in Dakshina Kannada, India. Lesions were grouped as benign adnexal, benign soft tissue, malignant lesions, and infection/inflammation.&#x0D; Results: Median age was 47.5 years and mode was 59 years. There were thirty (75%) males and ten (25%) females. The commonest lesions included epidermal cyst (25%), followed by seborrhoeic keratosis (17.5%), and squamous cell carcinoma (10%).&#x0D; Conclusion: A wide spectrum of entities affecting the pinna were encountered in the present study. Superficial cystic lesions are the most frequent type found in pinna and are amenable to simple excision. Benign neoplasms require surgical intervention; malignancy is also to be kept in mind while making a clinical diagnosis, necessitating wide clearance with or without neck dissection. Early intervention and confirmation of diagnosis by histopathological examination helps not only in successful management but also in preventing disfigurement and psychosocial complications.

Dev juvenil fibroadenomun yönetiminde batwing mastopeksi yöntemi ile birlikte meme koruyucu cerrahi: 12 yaşinda kız olgu sunumu

Fibroadenomas are benign breast tumours consisting of epithelial and stromal components. Most of them are about 1 to 2cm in size. It is defined as “giant” when the fibroadenoma is larger than 5cm, weighs more than 500 g or occupies for at least 80% of breast volume. It is usually encountered in patients of less than 20 years of age. Progressively growing mass and its large size cause a suspicion of malignancy. It presents as unilateral macromastia that causes breast asymmetry. Excellent cosmetic results cannot be obtained with simple excision in this situation. We aimed to present a case of a 12-year-old patient with a diagnosis of giant juvenile fibroadenoma. In this case, we performed surgical excision with Batwing mastopexy of the breast to achieve optimal symmetry with contralateral breast.

The autologous blood become gold standard procedure in pterygium surgery: An observational study

Introduction: Degenerative pterygium causes visual impairment due to astigmatism and blockade of visual axis. As pterygium cannot be treated medically, surgical excision of pterygium is the only way. Simple excision can be done but it is associated highest recurrence rate. Hence the standard method of preventing the recurrence after pterygium excision is Limbal conjunctival Auto Graft (LCAG). Adherence of the Auto graft to the excisional site is done by overlaying the auto graft upon the sclera either with sutures or glue routinely. However to address suture and fibrin related complications the concept of Autologous Blood came up. The current study taken up to find out whether autologous blood has become standard technique in treatment of degenerative pterygium. Aim: To assess the efficacy of Autologous blood in the adherence of the LCAG. Purpose: To know whether leaving the Autologous blood on the scleral bed can be made as a standard procedure in Pterygium surgery. Materials and Methods: 30 patients with the degenerative pterygium grown beyond the limbus were taken for the study. Patients with bleeding disorders, recurrent pterygium, ocular surface disorders, minimal pterygia and pregnancy were excluded. Pterygium was excised leaving the patient’s own blood on the excised area with minimal cautery and LCAG is placed on the bare sclera, and then pad bandage applied. Post operatively eyes were examined whether LCAG is well adhered or not. All the patients were followed for minimum of 6 weeks. Results: All eyes (100%) showed excellent adherence throughout the post operative period. None of the eyes lost the graft. Conclusion: The autologous blood excellent replacement for sutures and donor fibrin. Autologous blood is simple adjuvant of choice and has become gold standard in Pterygium surgery. Keywords: Autologous blood, Adherence, Fibrim, Graft, Pterygium.

Evolution of surgical treatment of vulvar cancer: a literature review

In the structure of gynecological oncological pathology, vulvar cancer is located after cancer of the body of the uterus, cervix, and ovaries. The first publications on the surgical treatment of vulvar cancer date back to the second half of the 19th century. In the works of surgeons F. J. Taussig (1949) and S. Way (1960), radical vulvectomy with regional lymphadenectomy became a method of treating patients with invasive squamous cell carcinoma of the vulva. With this aggressive approach, sufficiently high levels of five-year survival of patients with vulvar cancer were achieved up to 90% in a localized process, and up to 50% in the presence of metastases in regional lymph nodes. In the 1980s and 1990s, the transition from ultra-radical operations to economical, sparing ones became possible because of factors such as the introduction of the sentinel lymph node determination method. Ramon M. Cabanas in the 1960s first coined the term sentinel of signal lymph node. Surgical treatment for vulvar cancer has evolved over time, from extended, ultra-radical surgeries to a more individualized, conservative surgical approach, including widespread local excision with sentinel lymph node (SLN) detection instead of extended surgeries for early vulvar cancer. The evolution of the surgical treatment of vulvar cancer over the years is undoubtedly associated with the developments of the surgical technique, understanding of the biology of tumor growth, and radiation medicine along with the possibilities of drug therapy. The transition from simple tumor excision to extended, ultra-radical operations with inguinal-femoral, retroperitoneal, and pelvic lymphadenectomy made it possible to achieve good survival rates for this group of patients. In any case, further research is required to understand the adequate scope of surgical treatment for vulvar cancer.

Results of the surgical treatment of primary skin melanoma depending on the method of tumor excision and options for closing the surgical defect

The aim of the study was to analyze the results of the surgical treatment of patients with primary skin melanoma (SM) according to the location of the primary tumor, the type of incision, and the method of suturing the postoperative defect.&#x0D; Material and methods. Patients with primary SM, treated in 2013 (n = 337) were studied; these patients were randomized into two groups using the method of blind selection to the main (n = 182) comparisons (n = 155) (after removal of the tumor, simple linear wound closure was performed).&#x0D; Results. In patients with localized forms of SM, it was found necessary to perform a round incision when the tumor is localized on the trunk and an elliptical incision when localized on the extremities, followed by plastic replacement in all cases. In stage III patients with any tumor localization, the type of incision and suturing of the defect was not of fundamental importance.&#x0D; Discussion. It was revealed that patients with tumor on the trunk after rounded incision and plastic surgery had an advantage in progression-free survival (PFS) at all stages before an elliptical incision without plastic surgery during the entire observation period (123660 months) by 18.8%23%, 8%26.5% (p ˂ 0.050). Patients with localized forms of melanoma from stage 0 to IIc over the entire follow-up period of 123660 months had the greatest benefit in PFS from a round incision with plastic before conventional suturing without plastic surgery: from stage 0 to IIa by 22.0%31.8%32.0%, from stage IIb to IIc by 35.6%28.5%34.8%. In overall survival (OS), only patients with a rounded incision and plastic surgery in the initial stages of the disease stage 0 to IIa up to 36 and 60 months benefited by 24.4% and 29.3%, respectively. Compared with patients who underwent simple excision on the trunk, patients with stage IIbIIc with elliptical incisions and plasty had an advantage in PFS in the long term up to 3660 months of follow-up by 25.7% and in IDS with stages 0-IIa in the period 1236 months by 24.4%.&#x0D; With the localization of the primary tumor on the extremities, a statistical difference was revealed with the best indicators in patients with an elliptical incision and plastic surgery in the OS compared to patients with a rounded incision and plastic surgery in the period of 3660 months by 18.6% and 26.7%, respectively, as well as over patients with a conventional incision without plastic surgery in PFS as a whole in the subgroup at periods up to 36 and 60 months by 26.4% and 29.4% with a tendency to improve this indicator in the long term, as well as better SOS in the long term in these patients with a difference in OS of 19.3% (3660 months of observation).&#x0D; Conclusion. In patients with localized stages (0IIc), with the localization of the primary SM on the trunk, it is necessary to perform a round excision followed by plasty of the defect with displaced tissues; in addition, it is advisable to have an elliptical incision along the axial line for the limbs, followed by plasty of the defect. In patients with stage III, the shape of the incision and the method of suturing do not play a significant role in PFS and OS.

Do we need topical antibiotics for simple excision or the dressing after a skin wound?

We often use topical antibiotics for simple excisions or the skin after minor wounds. This is a long-standing practice to minimize scarring by preventing wound or surgical site infection to promote wound healing. Is this old practice the right way for today? Is there a scientific basis for it and can it persist? These questions are related to the increase in antibiotic-resistant bacteria in Korea. Currently, the guidelines for the use of oral antibiotics have been established and are being applied relatively well-controlled to prevent overuse and misuse, while discussions for evaluating the adequacy of the prophylactic use of topical antibiotics or establishing correct guidelines are lacking. Based on related research data, American Academy of Dermatology has been continuously campaigning against the abuse of prophylactic antibiotics by the public and doctors, following the increase in the abuse of topical antibiotics since 2013. Therefore, we discuss the necessity of using topical antibiotics for the prophylaxis based on literature evidence. Now is the time to make efforts to prevent the increase of antibiotic-resistant bacteria through the correct use and by reducing the prescription of topical antibiotics in Korea.

Van der woude syndrome: A case report and review

Introduction: The prevalent autosomal disorder, with or without cleft palate and lip, is Van der Woude Syndrome (VWS). The condition has been known for its lower lip pits. Interferon Regulatory Factor 6 (IRF6) gene mutations are causing a range of cases of VWS. The furrows caused an accumulation of mucous and felt esthetic pain during meals and crying.Purpose: To determine VWS causes, prevalence, treatment, symptoms, and diagnosis.Case report: A six-month-old baby was with lip pits, a bilateral cleft lip and palate since birth. The extraoral exam showed bilateral pit swellings with dome form on the lower vermilion boundary laterally to the midline. Simultaneous operations with the Nordhoff technique and simple excision were conducted combined with a breakthrough procedure under general anesthesia to correct bilateral cleft lips. The patient showed better clinical condition after the seventh-day post-surgery without infection sign, and bilateral cleft in lower lip pit closed in a month after surgery.Conclusion: VWS is generally not known and not always diagnosed. It is peculiar that the cleft palate and lip phenomenon is routinely integrated into the same pedigree. The patient with a lip pit can be thoroughly examined, for example, by revealing the secret shape of the cleft. In this case, the surgical repair was handled simultaneously to both functional and esthetic aspects to achieve satisfying results.

S-shaped wound closure following the excision of 2 adjacent pigmented nevi.

BackgroundThe main goal of excision of a pigmented nevus is to achieve an esthetically pleasing result. A single nevus can be removed by simple excision, whereas S-shaped suture can be used for the excision of 2 adjacent nevi. However, the choice of suturing method is based on the experience of the dermatologic surgeon, as there is no uniform standard for suture following the excision of 2 adjacent nevi. The aim of the present study was to determine whether S-shaped wound closure is appropriate for the excision of 2 adjacent nevi.MethodsThe outcomes of 21 patients who underwent simultaneous resection of 2 adjacent nevi were retrospectively reviewed. Of these patients, 17 chose S-shaped suture and 4 chose direct suture. Patients were followed-up for more than 6 months to review their postoperative scars. Differences between the 2 methods were compared based on the patient and observer scar assessment scale. Diameters and the proportional relationship between the 2 nevi were analyzed.ResultsPatients who underwent S-shaped wound closure surgery were more satisfied compared to those who had direct suturing (P<0.05); the nevus diameter-to-spacing diameter ratio was 0.68±0.35:1:0.99±0.56 in the S-shaped wound closure group.ConclusionsS-shaped wound closure following the excision of 2 adjacent nevi resulted in better patient satisfaction than the conventional direct suturing method.

Erosive Adenomatosis of the Nipple Masquerading as Paget's Disease: A Case Report

Abstract Introduction: Erosive adenomatosis of the nipple is a rare benign lesion involving nipple which can be easily misdiagnosed as more ominous entities such as Pagets disease. Here we reported a case of erosive adenomatosis on the nipple masquerading as paget's disease. Case presentation: A 21-year-old woman presented with a 6-year history of breast erythema involving her left nipple with tenderness and mild itching. The nipple appeared rough and thickened with areas of erosion and fissuring. Physical examination of other areas of breast as well as imaging studies including ultrasound and mammography showed no abnormalities. The histological examination reveal adiagnosis of erosive adenomatosis of nipple (EAN). The patient was treated by a simple surgical excision without complications and recurrence during 9-month follow-up. Discussion: In the early stage, it can mimic eczema, but in the later stage, more serious diagnosis such as Pagets disease should be differential. It is diagnosed by histopathological examination. Surgical excision is an optimal choice for treament with or without plastic reconstruction. Conclusion: EAN should be considered in the diagnosis of erythema and erosion lesions involving nipple. The gold standard for diagnosis is histopathological examination. A prompt and correct diagnosis of EAN can avoid both unnecessary over treatment and patients emotional stress.

Management of giant condyloma acuminatum on HIVAIDS patients with limited healthcare facilities

AbstractGiant Condyloma Acuminatum (GCA) or Buschke-Lowenstein Tumour (BLT) is a unique variant of condyloma acuminatum. The incidence of this disease tends to increase due to the increasing prevalence of Human Immunodeficiency Virus (HIV) infection. Until now, there is no therapeutic guideline for GCA, and many therapeutic options are not available for one in limited healthcare facilities. We present one case of GCA in HIV-positive women treated in health centers with limited facilities in a rural area. We treat the patient by doing a sitz bath with povidone-iodine 1%, simple excision with electrocautery for the tumour, adequate analgetics, regular wound care, and zinc supplementation acts as immunotherapy. Complications of wound infection by candida caused the lengthy hospitalization of the patient. After discharge, the patient came for control every week; no other lump arises again, and the wound was getting better. A combination of conservative and surgical treatment followed by regular wound care can lead to a good result in the GCA case, even with minimal healthcare facilities.

Canine Tonsillar Polyps: Characteristics, Classification, and Review of the Pathogenesis.

Canine tonsillar polyps are uncommon. We describe 14 tonsillar polyps in dogs and review their classification and pathogenesis. All dogs were adult (3-13 years old). Females (10/14) were more affected than males (4/14). Most of the lesions were asymptomatic (10/14). All lesions were unilateral, pedunculated (9/14), or sessile (5/14), with a smooth (12/14) or papillary/verrucous surface (2/14). Histologically, polyps consisted of benign proliferation of lymphatic vessels, blood vessels, fibrous tissue, and lymphoid tissue in variable proportions, with occasional adipose tissue (4/14). According to the main stromal components, polyps were categorized as lymphangiomatous (5/14), lymphangiolipomatous (2/14), lymphangiofibromatous (2/14), angiofibromatous (1/14), angiofibrolipomatous (1/14), lymphoid (2/14), and myxomatous (1/14). As the pathogenesis of these polyps remains unclear, we propose to replace the term inflammatory tonsillar polyp by a morphological diagnosis based on the stromal characteristics of the lesions. Simple surgical excision was curative in the 9 cases with available follow-up information.