Lymphangiomatous polyps are rare benign lesions typically arising from nasal and laryngeal sites; however, oropharyngeal involvement is uncommon. We report the case of a 48-year-old male who presented with a stroke-like episode and was incidentally found to have a 3.0 × 1.4 × 2.4 cm pedunculated mass in the oropharynx. Flexible laryngoscopy revealed a smooth, pink, fleshy lesion near the anterior tonsillar fossa. Surgical excision was performed, and histopathology confirmed a lymphangiomatous polyp, supported by immunohistochemical stains (CD34 and ERG highlighting vascular structures). Although these lesions are benign, their potential for growth and airway compromise underscores the need for prompt recognition and definitive surgical excision.
Abbas et al. (Mon,) studied this question.