Evidence map›Paper›PMID 42223619›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Peritonsillar abscess as a clinical sign of oropharyngeal cancer - a Swedish national cohort study.

Eivind Gottlieb-Vedi, Giola Santoni, Sanna Toppila-Salmi, Antti Mäkitie, Shao-Hua Xie, Jesper Lagergren

Abstract read
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Eivind Gottlieb-VediUpper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institutet, and Karolinska University Hospital, Blombäcks väg 23, plan 4, Stockholm, 17177, Sweden. eivind.gottlieb@ki.se.ORCID http://orcid.org/0000-0002-3098-1167
Giola SantoniUpper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institutet, and Karolinska University Hospital, Blombäcks väg 23, plan 4, Stockholm, 17177, Sweden.
Sanna Toppila-SalmiDepartment of Otorhinolaryngology, University of Eastern Finland, Joensuu and Kuopio, Finland and Wellbeing services county of Pohjois-Savo, Kuopio, Finland.
Antti MäkitieDivision of ENT diseases, Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Shao-Hua XieUpper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institutet, and Karolinska University Hospital, Blombäcks väg 23, plan 4, Stockholm, 17177, Sweden.
Jesper LagergrenUpper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institutet, and Karolinska University Hospital, Blombäcks väg 23, plan 4, Stockholm, 17177, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients older than 40 years with peritonsillar abscess may routinely undergo follow-up to detect oropharyngeal cancer, but this approach lacks scientific evidence. This study aimed to assess the hypothesis that oropharyngeal cancer is not overrepresented in patients with peritonsillar abscess.

methodsThis population-based, nationwide Swedish cohort study compared all patients diagnosed with peritonsillar abscess during 2005-2023 with an age-, date-, and sex-matched non-exposed group from the same cohort. Conditional logistic regression provided odds ratios (OR) with 95% confidence intervals (CI) for oropharyngeal cancer within 1 year after peritonsillar abscess diagnosis, or matching date. Except for the three matching variables, the OR were adjusted for tobacco smoking, alcohol overconsumption, and comorbidity in a multivariable model.

resultsOropharyngeal cancer was diagnosed in 30 patients out of 64,244 occurrences of peritonsillar abscess (0.05%), compared to 9 out of 642,440 individuals in the comparison group (0.0014%). All 39 oropharyngeal cancers occurred in individuals aged 40 or older. Peritonsillar abscess was associated with an increased 1-year risk of oropharyngeal cancer (adjusted OR 3.51, 95% CI 2.75-4.26). In substrata of age, the strongest association was observed for patients aged 60 years and above (adjusted OR 4.54, 95% CI 3.07-6.02), corresponding to 2.8 cases per 1000 patients, while the age group 40-59 years had an OR of 2.76 (95% CI 1.80-3.72).

conclusionPeritonsillar abscess may indicate an underlying oropharyngeal cancer only in rare cases. Given the low incidence of oropharyngeal cancer after peritonsillar abscess, routine follow-up is questionable or may be limited to older patients.

Indexed as

Oropharyngeal NeoplasmsPeritonsillar AbscessAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedSwedenOropharyngeal neoplasmTonsil abscessTonsil cancer

Identifiers

PMID42223619
PMCPMC13388767

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