RARE PRESENTATION OF LIPOMA IN NASOPHARYNX

Abstract

A 40 years old lady presented to our OPD
with mild discomfort in swallowing, nasal
block, left ear block on & off, hyponasal
voice for the past 6 months. On examination
a smooth mass was seen in the oropharynx
hanging from above . On Diagnostic Nasal
Endoscopy, the mass was seen to be rising
from left eustachian cushion obstructing the
left side of the choana completely. The same
mass seen partially occluding the right side
as well . No attachment to any other walls of
the nasopharynx was made out. routine investigation
were done including CT Paranasal
Sinuses and Neck. It showed the mass
extending from the nasopharynx upto the
oropharynx 6/4 cm Housefield Units ‐32 to
17. Under local anaesthesia, endoscope assisted
biopsy was taken and sent for HPE.
Under GA, endoscopic assisted excision of
the mass doneusing Radio‐Frequency Ablator
with haemostasis . Post operative period
was uneventful