Otorhinolaryngology tradition is that tonsillectomy (TE) is conducted among children and adolescents for obstructive sleep apnea secondary to adenotonsillar hypertrophy and in adults for chronic disease of the tonsils and adenoids (recurrent tonsillitis). Nevertheless, over the last 50 years, we have observed a decline in TE worldwide. As a result, there is an emerging concern of a correlated possible increased risk of tonsil cancer (TC) and other subtypes of oropharyngeal squamous cell carcinoma. Since the available data on such topics are limited and controversial, our aim was to elucidate the impact of TE on the incidence mainly of TC through a systematic review of the literature and a meta-analysis of the studies. After a thorough search, 7 retrospective studies were considered eligible for review and meta-analysis (MA). At MA, patients with a history of TE seem to show a reduced risk of TC but a higher predisposition for base of tongue (BOT) cancer (p[removed]95%). In future, randomized control trials will be welcome to elucidate the prophylactic role of TE against TC and its real impact on BOT cancer.
Tonsillectomy as prevention of tonsil and base of tongue cancer: systematic review and meta-analysis on the immuno-oncological effect of one among the most common surgeries in the world / Virgilio, Edoardo; Bonfili, Deborah; Bettoni, Stefania; Vona, Lorenzo; Mercuri, Jacopo; D'Agostino, Filippo; Baldinu, Manuel; Salvemini, Carlo; Montali, Filippo; Costi, Renato. - In: ANTICANCER RESEARCH. - ISSN 1791-7530. - 43:9(2023), pp. 3881-3889. [10.21873/anticanres.16575]
Tonsillectomy as prevention of tonsil and base of tongue cancer: systematic review and meta-analysis on the immuno-oncological effect of one among the most common surgeries in the world
Virgilio, Edoardo
Writing – Original Draft Preparation
;Bonfili, DeborahMembro del Collaboration Group
;Bettoni, StefaniaMembro del Collaboration Group
;Vona, LorenzoMembro del Collaboration Group
;Mercuri, JacopoMembro del Collaboration Group
;D'Agostino, FilippoMembro del Collaboration Group
;Baldinu, ManuelMembro del Collaboration Group
;Salvemini, CarloMembro del Collaboration Group
;Montali, FilippoMembro del Collaboration Group
;Costi, RenatoMembro del Collaboration Group
2023-01-01
Abstract
Otorhinolaryngology tradition is that tonsillectomy (TE) is conducted among children and adolescents for obstructive sleep apnea secondary to adenotonsillar hypertrophy and in adults for chronic disease of the tonsils and adenoids (recurrent tonsillitis). Nevertheless, over the last 50 years, we have observed a decline in TE worldwide. As a result, there is an emerging concern of a correlated possible increased risk of tonsil cancer (TC) and other subtypes of oropharyngeal squamous cell carcinoma. Since the available data on such topics are limited and controversial, our aim was to elucidate the impact of TE on the incidence mainly of TC through a systematic review of the literature and a meta-analysis of the studies. After a thorough search, 7 retrospective studies were considered eligible for review and meta-analysis (MA). At MA, patients with a history of TE seem to show a reduced risk of TC but a higher predisposition for base of tongue (BOT) cancer (p[removed]95%). In future, randomized control trials will be welcome to elucidate the prophylactic role of TE against TC and its real impact on BOT cancer.File | Dimensione | Formato | |
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