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Inflammatory myofibroblastic tumour of the tonsil: case report and literature review

Published online by Cambridge University Press:  16 February 2010

J C Magill ,
M S Ferguson ,
C R Butler ,
A Sandison  and
W E Grant
J C Magill*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Charing Cross Hospital, London, UK
M S Ferguson
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Charing Cross Hospital, London, UK
C R Butler
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Charing Cross Hospital, London, UK
A Sandison
Affiliation:
Department of Histopathology, Charing Cross Hospital, London, UK
W E Grant
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Charing Cross Hospital, London, UK
*
Address for correspondence: Dr Jennifer C Magill, Department of Otolaryngology – Head and Neck Surgery, Charing Cross Hospital, London W6 8RF, UK. Fax: +44 870 4580775 E-mail: jennifer_magill22@hotmail.com
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Abstract

Objective:

We present the first reported case in the English language literature of an inflammatory myofibroblastic tumour of the right tonsil in a young, pregnant woman, and we report a management strategy for this enigmatic entity.

Case report:

A 28-year-old, pregnant woman presented with a 10-day history of odynophagia despite a course of antibiotics. Examination revealed a grade II, erythematous right tonsil with ulceration on the upper pole. A biopsy was arranged, and initial evaluation was suggestive of spindle cell carcinoma. However, this diagnosis was reviewed after immunohistochemical staining confirmed an inflammatory myofibroblastic tumour. Subsequent complete excision was undertaken using CO2 laser.

Conclusion:

Clinically, inflammatory myofibroblastic tumour of the tonsil is known to be locally aggressive and can present in a manner not dissimilar to a high grade carcinoma of the tonsil. As a result, the recommended treatment is complete local excision with careful follow up.

Keywords

Tonsil NeoplasmsInflammatory Myofibroblastic Tumour
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 10 , October 2010 , pp. 1123 - 1125
Copyright
Copyright © JLO (1984) Limited 2010

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Footnotes

Presented at the 136th Semon Club Meeting, 14 November 2008, Guy's Hospital, London.

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