Lipomas are the most commonly encountered benign mesenchymal soft tissue neoplasms.
They originate from mature adipose tissue and could arise at any location containing fat tissue. Nasopharyngeal lipomas are however extremely rare, with only a few reports in the literature. Only three cases of nasopharyngeal lipoma have been reported in Japan from 1968 to 2020.
We describe the case of a 69-year-old male patient with a nasopharyngeal lipoma. The mass, arising from the lateral nasopharyngeal wall, measured 35 mm in diameter. The tumor was removed en bloc, via the oral approach. If possible, surgical resection should be considered in cases of symptomatic lipoma.