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Case Reports
. 2024 Aug:121:109950.
doi: 10.1016/j.ijscr.2024.109950. Epub 2024 Jun 26.

Pleomorphic adenoma of the tonsillar cavity

Affiliations
Case Reports

Pleomorphic adenoma of the tonsillar cavity

Firas Maalej et al. Int J Surg Case Rep. 2024 Aug.

Abstract

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.

Keywords: Palatine tonsil; Pleomorphic adenoma; Surgery.

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Conflict of interest statement

Conflict of interest statement N/A.

Figures

Fig. 1
Fig. 1
Bulging of the anterior pillar.
Fig. 2
Fig. 2
MRI of the oropharynx in axial section; A: T1 signal not injected; B: T1 signal injected; C: T2 signal; D: enhancement curve.
Fig. 3
Fig. 3
Pleomorphic adenoma: myoepithelial cells, epithelial cells and glandular elements dispersed in a myxomatous stroma.

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