eMJA: Tonsillar swelling: always a simple diagnosis?

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Tonsillar swelling: always a simple diagnosis?

Matteo Alicandri-Ciufelli, Gabriele Molteni, Domenico Villari, Francesco Mattioli and Livio Presutti

MJA 2009; 190 (8): 457

A 45-year-old man presented with marked, progressive bulging of the right tonsil (Figure, A) and slight swelling of the right submandibular region. Gadolinium-enhanced magnetic resonance imaging of the head and neck showed a large (5 × 4 × 3 cm) neoplasm, occupying the right parapharyngeal space, extending from the deep parotid lobe to the ipsilateral tonsillar region (Figure, B). The neoplasm was removed via an incision in the neck and identified, by histological examination, as a pleomorphic adenoma.

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