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Tonsillar Fullness Mimicking Malignancy Secondary to a Cervical Osteophyte: A Case Report
Jonah Zeitlin1, Olivia Matz1, Gary Kwartowitz1
1Otolaryngology - Head and Neck Surgery, McLaren Oakland Hospital, Pontiac, USA.
Cureus
|June 8, 2026
Summary
An unusual cause of tonsillar asymmetry was identified in an elderly female. A prominent cervical osteophyte mimicked malignancy, highlighting the importance of imaging for accurate diagnosis.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Radiology
Background:
- Tonsillar asymmetry and firmness can raise suspicion for malignancy, such as squamous cell carcinoma or lymphoma.
- However, benign conditions can sometimes mimic these malignant findings, leading to diagnostic challenges.
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It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
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