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Lymphangiomatöser Tonsillenpolyp

Tonsillar lymphangiomatous polyp

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Zusammenfassung

Lymphangiomatöse Polypen der Tonsillen sind seltene gutartige oropharyngeale Raumforderungen. Wir berichten über eine Patientin, die über 15 Jahre progrediente dysphagische Beschwerden aufgrund einer solchen tumorartigen Läsion hatte. Nach operativer Entfernung war die Patientin rezidiv- und beschwerdefrei (Nachbeobachtung 17 Monate). Die Histologie war gekennzeichnet durch einen lymphozytären Epitheliotropismus sowie zahlreiche erweiterte Blut- und Lymphgefäße mit begleitendem Ödem im Stroma. Die immunhistochemische Färbung des Präparats mit den Antikörpern D2-40 und Podoplanin bestätigte die klinische Diagnose eines lymphangiomatösen Polypen. Die aktuelle Literatur wird diskutiert.

Abstract

Lymphangiomatous polyps are rare benign lesions of the tonsils. We report the case of a female patient presenting with dysphagia of 15 years’ standing due to such a lesion. After surgical excision the patient remained free of symptoms and experienced no recurrence (follow-up 17 months). The histology was characterized by epitheliotropism of lymphocytes as well as dilated lymphatic channels, blood vessels and edema. Immunohistochemical staining with D2-40 monoclonal antibody and podoplanin confirmed the diagnosis of lymphangiomatous polyps. We discuss the current literature.

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Authors and Affiliations

  1. Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde/Chirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Straße 25, 53105, Bonn, Deutschland

    M. Kühnemund & AOH Gerstner

  2. Institut für Pathologie, Universitätsklinikum Bonn, Bonn, Deutschland

    N. Wernert & H. Gevensleben

Authors
  1. M. Kühnemund
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  2. N. Wernert
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  3. H. Gevensleben
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  4. AOH Gerstner
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Correspondence to M. Kühnemund.

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Kühnemund, M., Wernert, N., Gevensleben, H. et al. Lymphangiomatöser Tonsillenpolyp. HNO 58, 409–412 (2010). https://doi.org/10.1007/s00106-010-2083-0

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  • DOI: https://doi.org/10.1007/s00106-010-2083-0

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