ABSTRACT
50 child patients with the diagnosis of recurrent tonsillitis associated with cervical lymphadenopathy were the subject of the current study. The diagnosis was achieved after full general, ENT and local examination combined with full investigations to exclude other causes of lymphadenopathy. In the first group of 20 children, combined tonsillectomy and excisional lymph node biopsy was performed in one setting. In the second group of 30 children, only tonsillectomy was performed. Histopathological study of the tonsillar and lymph node sections was performed and the findings were discussed in accordance to the relevant literature. After one year follow up of the children in the second group 92% showed marked improvement in their lymph node enlargement