During the last three decades, and especially in the last ten years, much has been written regarding the pathologic changes in the faucial tonsils. The early reports were of individual cases which demonstrated features that seemed to be unusual. Gradually, larger groups were studied, until within the last five years a number of articles have been published covering the systematic examination of the pathologic changes in several thousand cases. Throughout these years, various features have been mentioned: tumors, abscesses, the presence of foreign bodies, giant cells, cholesterol, foreign substances, concretions and cysts. However, three pathologic changes in the tonsils have received particular attention. In the order of their interest these have been cartilage and bone, tuberculosis and bodies resembling those seen in actinomycosis. All investigators agree that these three groups are definite. Yet, a wide divergence of opinion exists as to the percentage frequency of each and opinions differ
WILKINSON HF. A STUDY OF TEN THOUSAND PAIRS OF TONSILS, WITH SPECIAL REFERENCE TO THE PRESENCE OF CARTILAGE, BONE, TUBERCULOSIS AND BODIES SUGGESTIVE OF ACTINOMYCOSIS. Arch Otolaryngol. 1929;10(2):127–151. doi:10.1001/archotol.1929.00620050023002
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