A 70-year-old female visited our clinic with a complaint of a lump in the throat feeling for over 10 years. And she coughed up a large polyp projected from her mouth. Fiberscopic examination revealed the pedunculated polypoid mass which attached to the right side of the epiglottis and the vallecula.
We feared imminent mechanical obstruction of her larynx with consequent asphyxiation. After admission, the polyp was resected with forceps and an electric knife using laryngomicroscopic procedure under general anesthesia.
On microscopic examination, the polyp was lined by a normal squamous epithelium. The stroma consisted of rich collagen fiber, fatty tissue and some capillary vessels. A chronic inflammation including plasma cells and mast cells was present, but there was no evidence of malignancy.
A case of fibromatous polyp of the oropharynx was discussed on incidence, the histologic findings and clinical features together with review of literatures.
