Jones GH, et al. - Given that, diagnostic tonsillectomy is performed to exclude malignancy. It is associated with a postoperative haemorrhage rate of 3.5%, which is more dangerous for small children, experts review their local diagnostic tonsillectomy practice for detecting tonsil lymphoma in asymmetrical tonsils. Five smaller case series of palatine tonsil asymmetry in children with no malignancy found is yielded by literature search. In tonsillar lymphoma, tonsillar asymmetry is reported as the most common presenting symptom. Authors noted the occurrence of this enlargement usually within 6 weeks with new obstructive or systemic B-type symptoms. Asymmetrical tonsils are found in 1.7% of the healthy paediatric population in a Turkish epidemiological study. Therefore, researchers estimate that in the UK there are over 210,000 children with asymmetrical tonsils. According to an unreliable grading system, there is a probability that asymmetrical tonsils in isolation, unchanged for over 6 weeks may not warrant tonsillectomy.