Primary Lymphangioma of the Tonsil: A Case Report

Abstract

Benign tumors of the tonsils occur infrequently. Lymphangiomas are rare congenital tumors of the lymphatic system, and tonsillar lymphangioma is an extremely rare occurrence. Its pathogenesis is uncertain, but history, clinical examination, and histological examination should establish the diagnosis. We present a 17-year-old white male with lymphangioma of the right tonsil. The tonsils were excised and biopsy confirmed the diagnosis. Tonsillar lymphangioma is a rare clinical entity, which should be known to the otolaryngologist, in order to diagnose and treat it appropriately and avoid confusion with tonsillar malignancies.

Lymphangioma of the Palatine Tonsil

“…When symptomatic, common presenting symptoms include dysphagia, recurrent sore throat, and foreign body sensation in the throat, which may cause a nonproductive cough. 5 A change in the quality of the patient's voice has also been reported as a result of this lesion. 6 A remarkably large mass may compress surrounding structures to produce respiratory difficulty, stridor, or nausea.…”

“…Difficulty with swallowing may progress, causing excessive saliva in the oral cavity. 5 On examination of the oral cavity, a lymphangioma is typically found to be an oval, pediculate mass protruding from the surface of the palatine tonsil. There is 1 report of a patient with a lymphangioma arising from the adenoids, presenting as a mass in the nasopharynx.…”

“…7 In the submucosa, foci of well-organized lymphoid tissue may sometimes be found as well ( Figure 1E). 5 Regardless of the location of these lymphocytes, they display the morphology of normal mature lymphocytes, with small round nuclei and a small rim of cytoplasm. Cytologic atypia is notably absent from tonsillar lymphangiomas, as is infiltration of the underlying stroma of the normal tonsil.…”

Surgical treatment of bilateral temporalis and masseteric hypertrophy: Report of a case

“…Psychological factors, particularly emotional stress, anxiety, and personality disorders, has been also related to these muscular hyperactivity. Nevertheless, the etiology cannot always be verified [1][2][3][4][5][6][7][8]. In the case reported, we could not identify any parafunctional habit or psychosocial disturbance and for that reason, the muscle hypertrophy may be regarded as idiopathic.…”

Poliposis linfangiomatosa de amígdalas palatinas y adenoides: Reporte de un caso

“…El pólipo linfangiomatoso se clasifica como una malformación congénita de tipo hamartomatosa 1 . Los hamartomas son crecimientos simples y espontáneos derivados del tejido local, presentando un crecimiento autolimitado 2 .…”