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Yale ENT Resident Newsletter

Volume I Number 1

June 25, 2007

Hi Residents:
This is the first of a series of newsletters providing assorted information about ENT Allergy, other ENT topics, and anything else I find interesting. Some facts will be "pearls",(worthwhile facts); others may be what we call "black pearls" (not-so-worthwhile facts). Yet, sometimes these are useful for cocktail party discussions when conversation gets slow. Enjoy!

Stanley Friedman, M.D.

Newsflash: You may be facing questions about the following topic if it reaches the general media:
         At the American Association of Cancer Research annual meeting in Los Angeles, April, 2007, the University of Buffalo epidemiologists presented a paper stating that premenopausal women who had their tonsils removed as children were 50% more likely to develop breast cancer than those whose tonsils were not removed. They quoted other studies that had concluded that tonsillectomy was associated with increased the risk of Hodgkin's Disease, leukemia, carcinoma of the breast & prostate.
      These links to cancer are still preliminary and perhaps the reasoning is not that tonsillectomy removes some sort of protection, but rather that those children who need tonsillectomy have had longstanding chronic infection and inflammation which in itself leads to carcinogenesis. Likewise, the absence of the link in post-menopausal woman may reflect the lesser indications for tonsillectomy that were present when they were children.



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