Case Report


Tonsillar lipoma: A case report from Saudi Arabia

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1 Otolaryngology Registrar, Department of Otolaryngology – Head & Neck Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

2 Otolaryngology consultant, Department of Otolaryngology Head & Neck Surgery, King Fahad Military Medical City, Saudi Arabia

Address correspondence to:

Lenah Khalid AlFadhil

MD, Otolaryngology Registrar, Department of Otolaryngology – Head & Neck Surgery, Prince Sultan Military Medical City, Riyadh,

Saudi Arabia

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Article ID: 100016Z18LF2025

doi: 10.5348/100016Z18LF2025CR

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How to cite this article

AlFadhil L, AlGhamdi AM. Tonsillar lipoma: A case report from Saudi Arabia. J Case Rep Images Otolaryngol 2025;4(2):5–8.

ABSTRACT


Introduction: Lipoma is one of the rarest benign tumors affecting the tonsils, with very few cases reported in the literature. Due to its rarity, it can be easily overlooked in the differential diagnosis of tonsillar masses.

Case Report: We report a case of a 28-year-old Saudi male who presented with a foreign body sensation in the throat. Clinical examination revealed a mass arising from the upper pole of the right tonsil. The patient underwent bilateral tonsillectomy, and histopathological analysis confirmed the diagnosis of lipoma. No recurrence was observed at the three-month follow-up.

Conclusion: Tonsillar lipomas are uncommon and may present with nonspecific symptoms. This case highlights the importance of considering lipoma in the differential diagnosis of unilateral tonsillar enlargement and discusses the rationale for surgical management in such rare presentations.

Keywords: Benign tonsillar tumor, Bilateral tonsillectomy, Case report, Foreign body sensation, Tonsillar lipoma

SUPPORTING INFORMATION


Acknowledgments

During the drafting and refinement of this manuscript, the authors used digital writing tools, specifically, ChatGPT (version GPT-4, OpenAI, San Francisco, CA, USA), to make the language clearer and keep the expression consistent.
The AI tool was used only to help with grammar, sentence structure, and style. Mostly in the Abstract, Introduction, and Discussion sections. No content was generated for clinical data, analysis, or interpretation.
All AI-assisted revisions were carefully reviewed, verified for accuracy, and approved by the authors. Responsibility for the integrity and originality of the manuscript, it remains entirely with the authors.

Author Contributions

Lenah Khalid AlFadhil - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published

Abdulaziz Mohammed AlGhamdi - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2025 Lenah Khalid Al Fadhil. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.