A PEDUNCULATED LIPOMATOUS POLYP OF UNILATERAL TONSIL: A CASE REPORT

INTRODUCTION
Palatine tonsils are a pair of lymphoid tissues
lodges in a fossa between the arches of palatoglossal
and palatopharyngeal muscles. These are part of
Internal Waldyer’s ring which is the main defensive
system of GI tract.1 Tonsil is the commonest sit for
any malignancy. Both benign and malignant tumour
may arise from palatine tonsil. However amongst
the benign tumours fibroma, lipoma, hamartomatous
polyp, Fibrolipomatous polyp and lymphangiomatous
polyp are least common tumors. While lipoma is the
commonest mesenchymal tumour in the body, which
occurs in head and neck regions 15%, mainly in oral
cavity, hypopharynx and larynx. Any pedunculated
lesion originating from palatine tonsil may be very distressing
one by causing dysphagia, difficult breathing
and foreign body sensation.2 Pedunculated polypoidal
palatine tonsillar masses are very rare entity. Literature
search revealed that majority of such cases were found
in adults while ‘lymphoid papillary hyperplasia’ was the
commonest occurrence in children.3 Such cases are
incidental findings in children. However it may present
with protrusion of mass from oral cavity, difficulty in
swallowing or breathing and foreign body sensation.
The symptoms may aggravate with passage of time due
to increase in size.4 CT scan and MRI can be performed
to get proper diagnosis and detail information regarding
the mass. Surgery is the treatment of choice of such
masses followed by histopathological examination to
get tissue diagnosis and further treatment if needed. We
present a rare case of pedunculated polypoidal mass
originating from upper end of left posterior tonsillar pillar