title: Bulge in the tonsillar fossa. Is it a quinsy?
abstract: A young girl presented to the ENT acute clinic with a persistent cough and a bulge in the left oropharynx. As there were no clinical signs suggestive of a quinsy, an MRI was performed that showed a large mass extending from the base of the skull to the epiglottis medialising the lateral and posterior pharyngeal walls. The patient subsequently underwent an excision biopsy which demonstrated a ganglioneuroma, however developed a left-sided Horner's syndrome and mild vocal cord palsy after.
authors.affiliation: East and North Herts NHS Trust, Lister Hospital, Stevenage, UK. shivan5@yahoo.com
authors.forename: Ananth
authors.initials: A
authors.lastname: Vijendren
authors.forename: Iman
authors.initials: I
authors.lastname: Eladawy
authors.forename: Prasad
authors.initials: P
authors.lastname: Kothari
mesh_terms: D000293:Adolescent; D001706:Biopsy; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D005729:Ganglioneuroma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006732:Horner Syndrome / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications / Q000628:therapy; D014067:Tonsillar Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D014826:Vocal Cord Paralysis / Q000209:etiology
chemical_list: D003287:Contrast Media