PMC6604470_01
Intraoperative photograph demonstrating significant enlargement over the area of the lingual tonsil prior to surgical reduction.
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This procedure revealed very large papillomatous disease arising from the tongue base and lateral pharyngeal wall with a normal larynx apart from cobblestoning of the larynx and bronchi (Figure 1).
Intraoperative photograph demonstrating the area after surgical removal of the obstructive lesions.
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The tongue base lesions were resected using monopolar diathermy with relief of airway embarrassment (Figure 2).
Histology of polyps from base of tongue. The lamina propria contains prominent reactive lymphoid follicles with large germinal centres (original magnification x20). The overlying squamous epithelium shows no atypia (inset).
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The specimen was sent for histopathology and virotyping, which revealed reactive lymphoid hyperplasia with mildly thickened and parakeratotic squamous epithelium (Figures 3 and 4).
Histology of polyps from base of tongue. The lamina propria contains prominent reactive lymphoid follicles with large germinal centres. The overlying squamous epithelium shows no atypia (original magnification x20).
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fig4
The specimen was sent for histopathology and virotyping, which revealed reactive lymphoid hyperplasia with mildly thickened and parakeratotic squamous epithelium (Figures 3 and 4).