AI Summary & Key Takeaways
AI InsightHistopathologic examinations are imperative to avoid confusion with tonsillar malignancies and for the correct diagnosis and treatment.
📌 3 Key Takeaways
Abstract
Lymphangiomas are rare congenital tumours of the lymphatic system. Our aim in presenting this case is due to tonsillar lymphangioma which is extremely rare. A 16-year-old male patient was admitted to the polyclinic at our hospital with a complaint of feeling of a foreign object in the throat for the past 4-5 months with no accompanying pain. During the examination of the oral cavity, a soft, smoothsurfaced, pedunculated polypoid was observed on the upper pole of the left tonsil. The mass was excised. The small cystic structures on the cross section of the beige-coloured, smooth-surfaced, pedunculated polypoid, which macroscopically measured 2x1x0.5 cm, caught our attention. The histopathologic examination presented multiple vascular cavities lined with endothelial cells and filled with full of proteinosis materials inside loose connective tissue. The patient was diagnosed with lymphangioma. Tonsillar lympangiomas are rare clinical entities and it should be kept in mind that lymphangiomas can develop on the tonsils. Histopathologic examinations are imperative to avoid confusion with tonsillar malignancies and for the correct diagnosis and treatment.
Özet
Lenfanjiomlar, lenfatik sistemin nadir konjenital tümörlerindendir. Tonsiller lenfanjiom ise son derece nadir görüldüğünden olgumuzu sunmayı amaçladık. 16 yaşında erkek hasta, 4-5 aydır ağrı olmaksızın boğazda yabancı cisim takılma hissi şikayetiyle hastanemiz polikliniğine başvurdu. Oral kavite muyenesinde sol tonsil üst polde, yumuşak kıvamda, düzgün yüzeyli, saplı polipoid kitle izlendi. Kitle eksize edildi. Makroskopik olarak 2x1x0,5 cm ölçülerinde, bej renkte, düzgün yüzeyli, saplı polipoid kitlenin kesit yüzünde yer yer milimetrik kistik yapılar dikkati çekti. Histopatolojik incelemede; gevşek bağ dokusu içerisinde proteinöz materyal ile dolu, endotel hücreleriyle döşeli, çok sayıda vasküler boşluk izlendi. Lenfanjiom tanısı verildi. Tonsiller lenfanjiomlar nadir klinik antitelerdir ve tonsilde lenfanjiom gelişebileceği akılda tutulmalıdır. Tonsiller malignensilerle karışıklıktan kaçınmak, doğru teşhis ve tedavi için histopatolojik inceleme mutlaka gerekmektedir.