振子様肥大を呈した口蓋扁桃サルコイドーシス症例

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  • A case of sarcoidosis localized in left palatine tonsil presenting with pendular hyperplasia

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A 62-year old female with sarcoidosis localized in the left palatine tonsil representing pendular hyperplasia, and in the left cervical lymph node is reported. The patient was admitted to our clinic complaining of lump in the throat and showed atypical hyperplasia of left palatine tonsil upon examination. A left palatine tonsillectomy was performed and the tonsil was assessed by pathohistology. It revealed non-caseating epitheloid granulomas, suggesting sarcoidosis. In spite of the postive reaction in the Kveim test, the chest X-ray film showed neither bilateral hilar lymphadenopathy (BHL) nor any lesions in lung fields. The general examination suggested no sarcoid lesions except of the tonsil and cervical lymph node. At three months after the tonsillectomy, the cervical lymph node swelling subsided spontaneously. A brief review for sarcoidosis of the upper respiratory tract (SURT) of the literature is presented.

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