A Clinical Case of Tonsillar Lymphangiomatous Polyp
DOI:
https://doi.org/10.2478/AMB-2023-0010Keywords:
tonsillar lymphangiomatous polyps, benign tumorsAbstract
Introduction
Tonsil lymphangiomas are extremely rare benign tonsil tumors. They could be asymptomatic, especially when they are small, and in these cases, they are most often found by chance on physical examination.
Clinical case
The authors present a 67-year-old man with complaints of discomfort, a sore throat, and an unspecific formation on his right tonsil. Upon microscopic examination, we found a polypoid mass covered by squamous epithelium with a stroma composed of lymphoid tissue.
Discussion
Benign tonsillar tumors are significantly more common than malignant ones. Lymphangiomatous polyps located in the tonsillar region, on the other hand, have been described as very rare, and their etiology and pathogenesis remain unclear. They tend to occur in areas where lymph vessels are abundant, with more than 90% of all lymphangiomas occurring in the head and neck region.
Conclusion
Lymphangiomatous polyps should be considered in the differential diagnosis of all benign tumors, and it is extremely important to differentiate them from malignant tonsil lesions.
References
Kardon D, Wenig B, Heffner D, Thompson L. Tonsillar Lymphangiomatous Polyps: A Clinicopathologic Series of 26 Cases. Mod Pathol. 2000 Oct;13(10):1128-33.
Barreto I, Costa AF, Martins MT et al. Immunohistochemical study of stromal and vascular components of tonsillar polyps: High endothelial venules as participants of the polyp’s lymphoid tissue. Virchows Arch. 2011;459(1):65-71.
Ormerod F. Angioma of the tonsil. J Laryngol Otol. 1926;41:797-800.
Visvanathan PG. A pedunculated tonsillar lymphangioma. J Laryngol Otol. 1971;85(1):93-96.
Balatsouras DG, Fassolis A, Koukoutsis G et al. Primary lymphangioma of the tonsil: a case report. Case Rep Med. 2011(3):183182.
Chen HH, Lovell MA, Chan KH. Bilateral lymphangiomatous polyps of the palatine tonsils. Int J Pediatr Otorhinolaryngol. 2010;74(1):87-88.
Kardon DE, Wenig BM, Heffner DK, Thompson LD. Tonsillar lymphangiomatous polyps: A clinicopathologic Series of 26 cases. Mod Pathol. 2000 Oct;13(10):1128-33.
Heffner D. Pathology of the tonsils and adenoids. Otolaryngol Clin North Am. 1987;20:279-86.
Duggal P, Chakravorty S, Sharma S, Ahluwalia RK. Pedunculated hamartomatous polyp of palatine tonsil in a child: A new presentation. Int J Pediatr Otorhinolaryngol. 2008;3:120-3.
Zadvinskis DP, Benson MT, Kerr HH, et al. Congenital malformations of the cervicothoracic lymphatic system: embryology and pathogenesis. Radiographics. 1992;12(6):1175-1189.
Hazra TK, Dutta SK, Mondal SK. Lymphangioma of the tonsil. Indian J Otolaryngol Head Neck Surg. 1996;48(3)225-227.
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