{"id":"https://openalex.org/W2574569674","doi":"https://doi.org/10.1182/blood.v106.11.3128.3128","title":"Evaluation of Tonsillectomy and Lymphoma Workup -Who Should Get a Lymphoma Workup? Is It Cost Effective?.","display_name":"Evaluation of Tonsillectomy and Lymphoma Workup -Who Should Get a Lymphoma Workup? Is It Cost Effective?.","publication_year":2005,"publication_date":"2005-11-16","ids":{"openalex":"https://openalex.org/W2574569674","doi":"https://doi.org/10.1182/blood.v106.11.3128.3128","mag":"2574569674"},"language":"en","primary_location":{"id":"doi:10.1182/blood.v106.11.3128.3128","doi":"https://doi.org/10.1182/blood.v106.11.3128.3128","is_oa":false,"landing_page_url":"https://doi.org/10.1182/blood.v106.11.3128.3128","pdf_url":null,"source":{"id":"https://openalex.org/S200071133","display_name":"Blood","issn_l":"0006-4971","issn":["0006-4971","1528-0020"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Blood","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5064100640","display_name":"Cecilia C.S. Yeung","orcid":"https://orcid.org/0000-0001-6799-2022","observed_orcids":["https://orcid.org/0000-0001-6799-2022"]},"institutions":[{"id":"https://openalex.org/I4210160527","display_name":"University of California Davis Medical Center","ror":"https://ror.org/05t6gpm70","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210160527","https://openalex.org/I4210160856"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cecilia C. Yeung","raw_affiliation_strings":["1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA","institution_ids":["https://openalex.org/I4210160527"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079704379","display_name":"Maggie A. Gama","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210160527","display_name":"University of California Davis Medical Center","ror":"https://ror.org/05t6gpm70","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210160527","https://openalex.org/I4210160856"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maggie A. Gama","raw_affiliation_strings":["1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA","institution_ids":["https://openalex.org/I4210160527"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103730542","display_name":"Rodriguez Rafael","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210160527","display_name":"University of California Davis Medical Center","ror":"https://ror.org/05t6gpm70","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210160527","https://openalex.org/I4210160856"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rodriguez Rafael","raw_affiliation_strings":["1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA","institution_ids":["https://openalex.org/I4210160527"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110134483","display_name":"Edward C. Larkin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210160527","display_name":"University of California Davis Medical Center","ror":"https://ror.org/05t6gpm70","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210160527","https://openalex.org/I4210160856"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edward C. Larkin","raw_affiliation_strings":["1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA","institution_ids":["https://openalex.org/I4210160527"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066067691","display_name":"Kim A. Janatpour","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210160527","display_name":"University of California Davis Medical Center","ror":"https://ror.org/05t6gpm70","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210160527","https://openalex.org/I4210160856"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kim Janatpour","raw_affiliation_strings":["1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1 Department of Pathology, UC Davis Medical Center, Sacramento, CA, USA","institution_ids":["https://openalex.org/I4210160527"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210160527"],"apc_list":{"value":5500,"currency":"USD","value_usd":5500},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.37320861,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"106","issue":"11","first_page":"3128","last_page":"3128"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10185","display_name":"Lymphoma Diagnosis and Treatment","score":0.9580000042915344,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10185","display_name":"Lymphoma Diagnosis and Treatment","score":0.9580000042915344,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10685","display_name":"Viral-associated cancers and disorders","score":0.011699999682605267,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13314","display_name":"Lymphadenopathy Diagnosis and Analysis","score":0.011599999852478504,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tonsillectomy","display_name":"tonsillectomy","score":0.9879999756813049},{"id":"https://openalex.org/keywords/tonsillar-lymphoma","display_name":"tonsillar lymphoma","score":0.9020000100135803},{"id":"https://openalex.org/keywords/non-hodgkin-lymphoma","display_name":"non-Hodgkin lymphoma","score":0.9660000205039978},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8259999752044678},{"id":"https://openalex.org/keywords/pediatric-tonsillectomy","display_name":"pediatric tonsillectomy","score":0.7020000219345093},{"id":"https://openalex.org/keywords/adult-tonsillectomy","display_name":"adult tonsillectomy","score":0.824999988079071},{"id":"https://openalex.org/keywords/tonsillar-squamous-cell-carcinoma","display_name":"tonsillar squamous cell carcinoma","score":0.7850000262260437},{"id":"https://openalex.org/keywords/follicular-hyperplasia","display_name":"follicular hyperplasia","score":0.859000027179718},{"id":"https://openalex.org/keywords/tonsillar-mass","display_name":"tonsillar mass","score":0.5120000243186951},{"id":"https://openalex.org/keywords/diagnostic-yield","display_name":"diagnostic yield","score":0.40700000524520874},{"id":"https://openalex.org/keywords/medicare-reimbursement","display_name":"Medicare reimbursement","score":0.6549999713897705},{"id":"https://openalex.org/keywords/tonsillectomy-indications","display_name":"tonsillectomy indications","score":0.34299999475479126}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8455047607421875},{"id":"https://openalex.org/C2779419017","wikidata":"https://www.wikidata.org/wiki/Q180569","display_name":"Tonsil","level":2,"score":0.7702150344848633},{"id":"https://openalex.org/C2779338263","wikidata":"https://www.wikidata.org/wiki/Q208414","display_name":"Lymphoma","level":2,"score":0.7641971707344055},{"id":"https://openalex.org/C2779073326","wikidata":"https://www.wikidata.org/wiki/Q170381","display_name":"Tonsillectomy","level":2,"score":0.6512380838394165},{"id":"https://openalex.org/C2777058707","wikidata":"https://www.wikidata.org/wiki/Q123251","display_name":"Follicular lymphoma","level":3,"score":0.5958028435707092},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4740072190761566},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4102931022644043},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.32352662086486816},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3165285289287567},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.28406214714050293},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1182/blood.v106.11.3128.3128","doi":"https://doi.org/10.1182/blood.v106.11.3128.3128","is_oa":false,"landing_page_url":"https://doi.org/10.1182/blood.v106.11.3128.3128","pdf_url":null,"source":{"id":"https://openalex.org/S200071133","display_name":"Blood","issn_l":"0006-4971","issn":["0006-4971","1528-0020"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Blood","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9907000064849854}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1976178496","https://openalex.org/W2586203893","https://openalex.org/W2720019054","https://openalex.org/W2152514439","https://openalex.org/W2756091938","https://openalex.org/W7096285396","https://openalex.org/W2334824686","https://openalex.org/W1262690972","https://openalex.org/W4405946633","https://openalex.org/W2788836768"],"abstract_inverted_index":{"Abstract":[0],"Intro:":[1],"Tonsillectomy":[2],"is":[3,21,35,93,100,121,144,295,333,340,366],"a":[4,40,75,103,138,217,266,408,427],"common":[5,19,32,41,57],"surgery":[6],"for":[7,79,83,128,162,238,382,422],"both":[8,387],"adults":[9,25,179,388],"and":[10,28,71,115,126,146,222,226,264,283,310,320,335,389,403,471,476,488,497,500],"children.":[11],"In":[12,24,192,301,355],"children":[13,177,309],"(under":[14],"18":[15],"years)":[16],"the":[17,30,46,49,55,96,98,135,156,171,184,193,201,252,298,357,393,413],"most":[18,31],"diagnosis":[20,34,58,348,361],"follicular":[22,467],"hyperplasia.":[23],"(18":[26],"years":[27,250,303],"older)":[29],"neoplastic":[33],"squamous":[36,495],"cell":[37,486,496,499,505],"carcinoma.":[38],"Although":[39],"fear":[42],"of":[43,64,81,137,152,158,173,196,204,220,289,315,327,396],"lymphoma":[44,53,84,92,104,140,175,267,304,328,347,360,383,423,428],"involving":[45],"tonsils":[47,82,406],"persist,":[48],"literature":[50,218,374],"indicates":[51],"non-Hodgkin":[52],"as":[54,407],"least":[56],"among":[59],"tonsillectomy":[60],"specimens.":[61],"The":[62,149,287,313,325,344],"purpose":[63],"this":[65],"study":[66],"was":[67,257,269,318],"to":[68,73,232,261,378,425,431],"provide":[69],"indications":[70],"guidelines":[72],"delineate":[74],"cost":[76,202,314,345,358],"effective":[77],"approach":[78,133],"selection":[80],"workup.":[85],"At":[86],"UC":[87],"Davis":[88],"Medical":[89,253],"Center,":[90],"if":[91],"considered":[94],"in":[95,118,123,176,180,297,329,336,349,362,370,386,412,438],"differential,":[97],"tonsil":[99],"processed":[101],"through":[102],"workup":[105,268,317,429],"protocol;":[106],"touch":[107],"preps,":[108],"flow":[109],"cytometry,":[110],"cytogenetics,":[111],"electron":[112],"microscopy,":[113],"B5-fixed,":[114],"formalin-fixed":[116],"tissue":[117],"paraffin.":[119],"Tissue":[120],"frozen":[122],"liquid":[124],"nitrogen":[125],"stored":[127],"possible":[129],"future":[130],"studies.":[131],"This":[132,255,368],"diminishes":[134],"possibility":[136],"missed":[139],"diagnosis,":[141],"however":[142],"it":[143],"costly":[145],"labor":[147],"intensive.":[148],"initial":[150],"phase":[151,195],"our":[153,165,181,197,205,290,330,337,350,363,373],"investigation":[154,198],"involved":[155],"identification":[157],"worrisome":[159,273],"clinical":[160,211,274,394,420],"findings":[161,212,275,395],"comparison":[163],"with":[164,234,259,372,392],"patient":[166],"population.":[167],"Next,":[168,240],"we":[169,199,215,241],"address":[170,200],"incidence":[172,326],"tonsillar":[174,245,281,401,472],"versus":[178,440],"hospital":[182],"because":[183],"two":[185],"populations":[186],"historically":[187],"exhibit":[188],"drastically":[189],"different":[190],"diagnoses.":[191],"final":[194],"effectiveness":[203],"approach.":[206],"Method:":[207],"To":[208],"define":[209],"what":[210],"are":[213],"worrisome,":[214],"performed":[216,307],"search":[219,375],"\u201ctonsillectomy":[221],"lymphoma\u201d":[223],"on":[224],"pubmed":[225],"revealed":[227],"60":[228],"articles":[229,236],"dating":[230],"back":[231],"1980":[233],"22":[235],"selected":[237],"review.":[239],"reviewed":[242],"over":[243,248],"900":[244],"specimens":[246,381],"collected":[247],"five":[249],"at":[251],"Center.":[254],"data":[256,369],"stratified":[258],"respect":[260],"age,":[262],"diagnoses,":[263],"whether":[265],"performed.":[270],"Data:":[271],"Prominent":[272],"included:":[276],"unilateral":[277,397],"enlargement,":[278],"rapidly":[279,399],"growing":[280],"mass,":[282,402],"grossly":[284,404],"asymmetric":[285,405],"tonsils.":[286],"results":[288],"specimen":[291],"(UC":[292],"Davis)":[293],"review":[294],"included":[296],"chart":[299],"below.":[300],"5":[302],"workups":[305],"were":[306],"in19":[308],"42":[311],"adults.":[312],"each":[316],"$4063.00":[319],"Medicare":[321],"reimburses":[322],"$1180.":[323],"Conclusion:":[324],"pediatric":[331,351,390,414],"population":[332,339,352,365,415],"0":[334,449,450],"adult":[338,364],"less":[341],"than":[342],"1%.":[343],"per":[346,359],"exceeds":[353],"$77,197.00.":[354],"contrast,":[356],"$21,330.00.":[367],"conjunction":[371],"leads":[376],"us":[377],"recommend":[379],"selecting":[380],"work":[384],"up":[385],"patients":[391],"growth,":[398],"enlarging":[400],"criteria.":[409],"Special":[410],"consideration":[411],"should":[416],"also":[417],"include":[418],"strong":[419],"suspicion":[421],"prior":[424],"ordering":[426],"due":[430],"an":[432],"extremely":[433],"low":[434],"incidence.":[435],"Tonsillar":[436],"diagnoses":[437,465,479,493],"Children":[439,446],"Adults":[441,451],"Benign":[442,464],"Lymphoma":[443],"Other":[444,491],"Neoplasm":[445,492],"(n=372)":[447],"372":[448],"(n=654)":[452],"572":[453],"8":[454,460],"82":[455,462],"Total":[456],"(n=1034)":[457],"944":[458],"(91%)":[459],"(<1%)":[461],"(8%)":[463],"include:":[466,480,494],"hyperplasia,":[468],"benign":[469],"mucosa":[470],"tissue,":[473],"amyloidosis,":[474],"acute":[475],"chronic":[477],"tonsillitis.Lymphoma":[478],"large":[481],"B-cell":[482],",":[483,487],"follicle":[484],"center":[485],"lymphoblastic":[489],"lymphoma.":[490],"basal":[498],"metastatic":[501],"adenocarcinoma,":[502],"malignant":[503],"spindle":[504],"sarcoma.":[506]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2017-01-26T00:00:00"}
