MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG VÀ MÔ BỆNH HỌC BỆNH VIÊM AMIDAN MẠN TÍNH TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To describe the clinical features and histopathology of chronic tonsillitis. Subjects and methods: 38 patients diagnosed with chronic a tonsillitis underwent tonsillectomy at the Department of Otolaryngology, Military Hospital 103, from January to August 2022. Results: The average age was 25.6 ± 9.1, and the most common age group was 16 - 25 (39.5%); The male/female ratio was 3.75. The sore throat was the most common symptom (84.2%), followed by difficulty swallowing (78.9%). Tonsillar hypertrophy accounted for 94.7%; grades II and III were the most common with respective rates of 39.5% and 42.1%. Slight lymphocyte infiltration in the surface epithelium was observed in 100%, and diffuse lymphocyte infiltration and/or abscess in the surface epithelium occurred in 71.1%. The presence of polymorphonuclear leukocytes in the surface epithelium and in the subepithelial area and an increase in the plasma cell number in the subepithelial area and in the interfollicular area occurred in 100%. Lymphocytic hyperplasia was responsible for 84.2% of patients, the highest occurrence rate was in the age group of 6 - 15 years (100%); Regarding the number of germinal centers (microscope x100); the low level was 71.1%, the high level 28.9%. The occurrence of atrophy and fibrosis accounted for 50% and 36.8%. Histopathological groups: Chronic inflammation-hyperplasia 50%, pure hyperplasia 28.9%, chronic inflammation 13.2%, chronic inflammation-scarring/fibrosis 7.9%. Conclusion: Histopathological features are consistent with chronic tonsillitis and help confirm the diagnosis.