alexa Cartilaginous Choristoma of Tonsil | Open Access Journals
ISSN: 2161-0681
Journal of Clinical & Experimental Pathology
Like us on:
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Cartilaginous Choristoma of Tonsil

Rachana Dhakal* and Ramesh Makaju

Department of Pathology, Kathmandu University School of Medical Sciences, Nepal

*Corresponding Author:
Dhakal R
Lecturer, Kathmadu University School of Medical Sciences
Department of Pathology, Dhulikhel, Kavre, Nepal
Tel: 9779841777944
E-mail: [email protected]

Received date: August 05, 2015; Accepted date: August 18, 2015; Published date: August 21, 2015

Citation: Dhakal R, Makaju R (2015) Cartilaginous Choristoma of Tonsil. J Clin Exp Pathol 5:245. doi: 10.4172/2161-0681.1000245

Copyright: © 2015 Dhakal R et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Clinical & Experimental Pathology

Abstract

Choristoma is a condition, which consists of mass of histologically normal tissue in an abnormal location. Here, we report 30 year old male presenting with chronic tonsillitis. Histological examination revealed an island of mature cartilage surrounded by lymphoid follicles.

Keywords

Choristoma; Cartilage; Tonsil

Introduction

Choristoma is tumor like mass consisting of tissue foreign to the site at which they are located [1]. In head and neck region, choristoma have been reported in pharynx, hypopharynx, oral cavity and middle ear [2,3]. Different types of tissue can occur in oral cavity as choristoma, which can be cartilage, bone, glial tissue, salivary gland and thyroid [3-5].

Here we report a case of chronic tonsillitis with cartilaginous choristoma.

Case Report

A 30-year-old male presented to Ear, Nose and Throat (ENT) Department with complaint of recurrent episodes of throat pain associated with fever and difficulty in swallowing. On examination, tonsils were enlarged and inflamed with purulent exudates. A clinical diagnosis of chronic tonsillitis was made. Patient underwent bilateral tonsillectomy and the specimen was sent for histopathological examination. Grossly ,the excised tonsil were firm and appeared grey brown in color .Tonsils measured 3×2.5×1.5 cm (right tonsil) and 3×2×1.5cm (left tonsil). Cut section of both the tonsils showed grey white in colour. On microscopic examination, both the tonsils were covered by stratified squamous epithelium with follicular hyperplasia. Left tonsil showed an island of mature cartilage surrounded by lymphoid follicles (Figure 1).

clinical-experimental-pathology-Islands-hyaline-cartilage

Figure 1: Islands of hyaline cartilage adjacent to follicuar hyperplesia in tonsil (X10).

Discussion

Cartilaginous choristoma was first described by Berry in 1890 [6]. It occurs in between 10 to 80 years. Natural history of this lesion is not clear but some theories explain as a developmental anomaly in the second pharyngeal arch [7]. Lindholm et al. proposed that chemical or physical changes brought about by chronic inflammation may lead to liberation of osteogenic substances which produce heterotopic proliferation of cartilage [8]. Cartilaginous choristoma of oral cavity is frequently seen in tongue, followed by buccal mucosa and soft palate [9].

Cartilaginous choristoma, which present as chronic tonsillitis with enlargement of tonsil, is extremely rare and very few cases have been reported so far [10]. Cartilaginous choristoma should be distinguished from cartilaginous metaplasia, which usually occurs in the soft tissue beneath ill-fitting dentures [7]. The latter is characterized histologically by diffuse deposits of calcium and scattered cartilaginous cells arranged in various stages of maturation in single or clustered cartilaginous foci [7,11].

In our case, calcification was not seen and the mature cartilage that is not a normal constituent of tonsil was present. Therefore the lesion was considered as choristoma of tonsil.

Simple excision of the lesion with removal of perichondrium is essential since it may have potential to develop new cartilage [1].

Cartilaginous choristoma is a rare entity, which follows a benign course as normal cartilage, elsewhere in the body [12].

Conclusion

Choristoma of tonsil is rare entity, which follows benign course. Though, the natural history is not clear but while evaluating any patient with recurrent tonsillitis, suspicion for this lesion should be made.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Article Usage

  • Total views: 11720
  • [From(publication date):
    October-2015 - Oct 17, 2017]
  • Breakdown by view type
  • HTML page views : 7935
  • PDF downloads :3785
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords