IJOHNS  Vol.6 No.2 , March 2017
A Pedunculated Fibrolipomatous Polyp of Tonsil: A Rare Case Report
Lipoma being the most common mesenchymal tumour of the body is rare in head and neck region. Fibrolipoma is a rare benign tumour of palatine tonsil which may present a pedunculated lesion in oropharynx and can cause dysphagia, foreign body sensation in throat, sleep disturbance and voice change. Our patient presented with foreign body sensation in throat. Examination showed pedunculated polypoidal mass arising from right palatine tonsil, treated with tonsillectomy under general anaesthesia. Histopathological examination confirmed as fibrolipoma of tonsil. Malignant transformation in fibrolipoma is very rare but some cases have been reported. Hence patient was followed up for two years and no recurrence noted.
Cite this paper: Lambor, D. , Kumar, S. , Kakodkar, N. and Sose, S. (2017) A Pedunculated Fibrolipomatous Polyp of Tonsil: A Rare Case Report. International Journal of Otolaryngology and Head & Neck Surgery, 6, 16-21. doi: 10.4236/ijohns.2017.62004.

[1]   El-Monem, M.H.A., Gaafar, A.H. and Magdy, E.A. (2006) Lipomas of the Head and Neck: Presentation Variability and Diagnostic Work-Up. Journal of Laryngology and Otology, 120, 47-55.

[2]   Thakur, J.S., Saluja, M., Sharma D.R., et al. (2013) Fibrolipoma of Eustachian Ostium. BMJ Case Report 2013.

[3]   Ohtsuki, Y., et al. (2006) A Peduculated Hamartomatous Polyp of the Palatine Tonsil. Biomedical Research, 17, 155-158.

[4]   Halaas, Y.P., Mra, Z. and Edelman, M. (2001) Chondrolipoma of the Oropharynx. Ear, Nose, & Throat Journal, 80, 146-147.

[5]   Wang, C.P., Kwan, P.C. and Ho, C.Y. (2007) Lipoma of the Palatine Tonsil. Journal of the Formosan Medical Association, 106, 673-675.

[6]   Derekoy, F.S., Fidan, H., Fidan, F., et al. (2007) Tonsillar Lipoma Causing Difficult Intubation: A Case Report. Kulak Burun Bogaz Lhtisas Dergisi, 17, 329-332.

[7]   Raza, S.N., Waseem, Z., Reid, D. and Jackson, B.S. (2005) Giant Fibrovascular Polyp of the Oropharynx. Case Presentation and Literature Review. Journal of Otolaryngology, 34, 277-280.

[8]   Dev, V.R., Heeringa, B. and Busch, R. (2000) Tonsilar Lipoma. Otolaryngology-Head and Neck Surgery, 122, 941.

[9]   Nandakumar, R., Inchara, Y.K., Ophelia, D’Souza, et al. (2010) Fibrolipoma of the Tonsil. Indian Journal of Pathology and Microbiology, 53, 562-563.

[10]   Kardon, D.E., Wenig, B.M., Heffner, D.K., et al. (2000) Tonsillar Lymphangiomatous Polyps: A Clinicopathologic Series of 26 Cases. Modern Pathology, 13, 1128-1133.

[11]   Begin, L.R. and Frenkiel, S. (1993) Polypoid Lipoma of the Palatine Tonsil. The Journal of Laryngology & Otology, 107, 556-558.

[12]   Kanotra, S.P. and Davies, J. (2014) Management of Tonsillar Lipoma: Is Tonsillectomy Essential? Case Reports in Otolaryngology, 2014, Article ID: 451570.