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Lymphangiomatous Polyp Presenting as Tonsillar Mass.
Ashish Dhakal1, Sameer Karmacharya1, Sandhya Shrestha2
1Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
Case Reports in Otolaryngology
|November 23, 2017
Summary
A rare lymphangiomatous polyp was found in a 19-year-old female's tonsil, causing throat discomfort. Surgical removal was successful, with the patient recovering well and showing healthy tonsillar fossae post-operation.
Area of Science:
- Otolaryngology
- Pathology
- Surgical Oncology
Background:
- A 19-year-old female presented with a two-week history of foreign body sensation and a one-week history of a left tonsil mass.
- The patient denied dysphagia or recurrent tonsillitis, suggesting a localized, non-obstructive lesion.
Observation:
- Physical examination revealed a pedunculated mass originating from the upper pole of the left tonsil.
- Surgical excision via bilateral tonsillectomy under general anesthesia was performed.
- Gross examination identified a 2.5 × 1.5 × 1 cm soft, polypoidal mass attached to the left tonsil.
Findings:
- Histopathological analysis confirmed the mass as a lymphangiomatous polyp of the tonsil.
- This diagnosis represents a rare benign neoplastic proliferation of lymphatic vessels within the tonsillar tissue.
Implications:
- This case highlights the importance of considering rare benign entities in the differential diagnosis of tonsillar masses.
- Successful surgical management resulted in complete resolution of symptoms and normal postoperative recovery.
- Further research into the etiology and optimal management of tonsillar lymphangiomatous polyps may be warranted.
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