Tadao Enomoto

Papillary Hypertrophy of the Palatine Tonsils

Papillary hypertrophy of the tonsils is one of the rare abnormalities of the palatine tonsils. Since the first reports of papillary hypertrophy of the tonsils by Ogino and Matsui, only 30 cases of this disease have been reported in Japan. The etiology of papillary hypertrophy remains a mystery. A 5-year-old female visited our clinic with a complaint of obstructive feeling in the throat. Papillary surface of the palatine tonsils were noticed. Tonsillectomy and adenoidectomy were performed under general anesthesia on October 25, 1977. The histopathological examination of the tonsils revealed the lymphoid hyperplasia with poor subepithelial connective tissues. Only slight chronic inflammation was present. This papillary hypertrophy of the tonsils was found in 13 members (6 male, 7 female) of her family pedigree. Genetical analysis of the pedigree showed this disease is transmitted by an autosomal dominant gene.

A Case of Calcifying Epithelioma (Malherbe)

An 8 years old girl complained of swelling in the right infra-auricle area. A 3.5×3.5cm round tumor with a stone like hardness and irregular surface was observed on the right side of the parotis area. X-rays films revealed calculi in this area and such were surgically removed. Histological observations revealed a typical calcifying epithelioma (Malherbe) with basophilic and shadow cells.

A HEREDITARY STUDY ON PAPILLARY HYPERTROPHY OF THE TONSILS

Papillary hypertrophy of the tonsils is one of the rare abnormalities of the palatine tonsils. Since the first report of papillary hypertrophy of the tonsils by Ogino in 1924, only 30 cases of this disease have been reported in Japan. The etiology of papillary hypertrophy remains a mistery. A 5-year-old female consulted our clinic with a complaint of obstructive feeling in throat. Papillary surface of palatine tonsils were noticed. Tonsillectomy and adenoidectomy were performed under general anesthesia on October 25, 1977. The histopathological examination of the tonsils revealed the lymphoid hyperplasia with poor subepithelial connective tissues. In general, the inflammation was slight. This papillary hypertrophy of the tonsils was found in members (male 6, female 7) of her family pedigree. A genetical analysis showed that this disease is a congenital abnormality of the tonsil due to an antnsnmal dominant.