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CASE REPORT
Year : 2013  |  Volume : 16  |  Issue : 3  |  Page : 121-123

Pharyngeal fibromatosis presenting as adenoid hypertrophy: A case report and review of literature


1 Department of Otorhinolaryngology, College of Health Sciences, Faculty of Clinical Sciences, University of Ilorin, Ilorin, Kwara State, Nigeria
2 Department of Histopathology, College of Health Sciences, Faculty of Clinical Sciences, University of Ilorin, Ilorin, Kwara State, Nigeria

Correspondence Address:
Segun Segun-Busari
Department of Otorhinolaryngology, College of Health Sciences, Faculty of Clinical Sciences, University of Ilorin, Ilorin, Kwara State
Nigeria
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DOI: 10.4103/1118-8561.121923

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A 10-year-old girl presented with a noisy breathing noticed from birth and failure to thrive. Examination revealed a huge lobulated firm mass in the oropharynx (toward the left side). Plain radiography of the neck showed a huge circumscribed pharyngeal mass extending from the base of the tongue to the level of the fourth cervical vertebrae. The mass measuring 6 cm Χ 5 cm was excised through a left lateral pharyngotomy. Histological examination showed sections of highly cellular interlacing bundles of fibroblast with moderate hyalinization extending to the surrounding fibro-fatty tissue. The cells have spindle nuclei with tapering ends. Occasional mitosis and in some areas myxoid degeneration were seen. A diagnosis of pharyngeal fibroma was made. Patient had an uneventful post-operative recovery with complete resolution of symptoms for the past 6 years. This rare benign tumor has not previously been reported at this site and may thus give rise to difficulty in diagnosis or to a misdiagnosis.


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