Department of Otorhinolaryngology Head and Neck Surgery, Gennimatas General Hospital, Thessaloniki, Greece.
2 Academic ORL, Head and Neck Surgery Department, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece.
Pan Afr Med J. 2021 Aug 27;39:276. doi: 10.11604/pamj.2021.39.276.31057. eCollection 2021.
Fibroepithelial polyps represent a frequent cutaneous lesion of mesodermal origin, with a prevalence of 1.2% and are rarely located at palatine tonsils. We present a rare clinical report of a 70-year-old female patient with fibroepithelial polyp of palatine tonsil. This entity represents the eighth case of palatine tonsil fibroepithelial polyp in the English literature. She presented with a polypoid mass at the right tonsil and unspecified throat symptoms. Physicians should pay attention to such lesions because of the residual risk of malignant transformation, along with non-specific symptoms. Differential diagnosis was among neurofibroma, lipoma, squamous papilloma and fibroepithelial polyp. Histopathological examination following tonsillectomy showed a structure rich in vesicles inside lamina propria and surrounding inflammation, establishing the diagnosis of a fibroepithelial polyp. It requires vigilance during complete clinical examination, in order to detect masses at patients with throat symptoms that could have remained undiagnosed until they become even life threatening.
纤维上皮息肉是一种常见的中胚层起源的皮肤病变，其患病率为 1.2%，很少发生于腭扁桃体。我们报告了一例罕见的 70 岁女性腭扁桃体纤维上皮息肉病例。该实体是英文文献中第八例腭扁桃体纤维上皮息肉。她右侧扁桃体出现息肉样肿块，并伴有未明确的咽喉症状。由于存在恶性转化的残余风险以及非特异性症状，医生应注意此类病变。鉴别诊断包括神经纤维瘤、脂肪瘤、鳞状乳头状瘤和纤维上皮息肉。扁桃体切除术后的组织病理学检查显示固有层内充满囊泡的结构，并伴有周围炎症，从而确立了纤维上皮息肉的诊断。在进行完整的临床检查时需要保持警惕，以便发现有咽喉症状的患者中的肿块，这些肿块可能一直未被诊断，直到它们变得更具威胁生命。
