In this case report, a 17-year-old male patient who presented to our clinic complaining of dysphagia and was diagnosed with tonsillar chondrolipoma is described, along with radiological, clinical, and immunohistochemical findings, as well as the review of the literature.
Histopathologic diagnosis was reported as chondrolipoma. Surgical margins were negative.
Chondrolipoma is a rare form of lipoma, which can be found at any anatomical site.
To the best of our knowledge, there are only two articles where chondrolipoma in tonsils has been reported in the literature so far (3, 4).
Primary variants of lipoma can be listed as angiolipoma, myolipoma, fibrolipoma, angiomyolipoma, myelolipoma, chondroid lipoma, chondrolipoma, fusiform cell, and pleomorphic lipoma.
Occasionally, lipomas may contain other types of mesenchymal tissue and such variants are named accordingly as fibrolipoma (connective tissue), angiolipoma (blood vessels), chondrolipoma
(cartilage), and osteolipoma (bone).
The lesion was excised, and histopathology determined that it was a chondrolipoma. We believe that this is the first report of a chondrolipoma at this anatomic site.
[2-5] In this article, we describe a strikingly unusual manifestation of a chondrolipoma in a previously unreported location.
These findings were interpreted to represent the presence of a submucosal lipoma with chondroid metaplasia, and the mass was designated as a chondrolipoma.
A chondrolipoma must be distinguished from a chondroid lipoma, which is a separate entity.