16 March 31, 2020 University A 64‐y‐old female with asymmetric tonsils, lymphoma suspected Tonsil neoplasm, suspect lymphoma Direct laryngoscopy with biopsy, Bronchoscopy, esophagoscopy, possible bilateral tonsillectomy Approved High risk Changed surgical approach suggested Recommendation was to remove one tonsil and frozen section. If suspicious for lymphoma can avoid contralateral tonsillectomy and panendoscopy. This is exactly what happened