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Published on: November 16, 2015
Pleomorphic adenoma of the tonsillar cavity
Firas Maalej1, Amal Samet2, Manel Bouhali3
1Department of ENT, University Hospital Habib Bourguiba of Sfax, Faculty of Medicine of Sfax, University of Sfax, Tunisia.
Insights
Pleomorphic adenomas in the tonsil are rare and can mimic lymphoma. Complete surgical excision is crucial for treating this tonsillar tumor and preventing recurrence.
Area of Science:
- Otorhinolaryngology
- Head and Neck Surgery
- Pathology
Background:
- Pleomorphic adenomas, typically found in salivary glands, rarely occur in the tonsillar region.
- Tonsillar masses necessitate the exclusion of lymphomatous and other malignant conditions.
Observation:
- A 15-year-old child presented with a 6-month history of pharyngeal discomfort and dysphagia.
- Clinical examination and MRI revealed a tonsillar mass.
- Histological examination confirmed the mass as a pleomorphic adenoma.
Findings:
- Pleomorphic adenoma of the tonsil presents with non-specific symptoms.
- Magnetic Resonance Imaging (MRI) aids in diagnosing the tonsillar mass.
- Histological analysis is essential for definitive diagnosis and differentiation from lymphoma.
Implications:
- Complete transoral surgical resection is the recommended treatment for tonsillar pleomorphic adenoma.
- Thorough excision is vital to minimize the risk of tumor recurrence.
- Early diagnosis and complete removal ensure favorable patient outcomes.
Introduction And Importance:
The tonsillar location of pleomorphic adenomas is rare in histological diagnosis. The elimination of other essentially lymphomatous diagnoses is essential.
Case Presentation:
We present a case of a 15-year-old child who consults for a feeling of pharyngeal discomfort and difficulty eating solid foods for 6 months. Clinical examination and radiology (MRI) showed the presence of a mass in the tonsillar region. A biopsy revealed a pleomorphic adenoma. The tumor was removed transorally with good progress.
Clinical Discussion:
Pleomorphic adenoma of the tonsillar region is rare. Only histological examination can confirm this. Resection of the tumor must be complete in order to limit the risk of recurrence.
Conclusion:
The pleomorphic adenoma of the tonsillar region has a non-specific clinical presentation. MRI helps guide the diagnosis. Its treatment is surgical requiring complete excision.
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