LYMPHOEPITHELIOMA of the tonsil is not uncommon, but its bilateral occurrence appears to be rare. In a review of the literature, only one previous case has been reported.1
Bilateral lymphoepithelioma imposes certain problems and difficulties in diagnosis and treatment. A neoplasm of the tonsil may remain dormant and asymptomatic for some time until swelling, pain, or an enlarged cervical lymph node may arouse suspicion. The present case illustrates the need to consider neoplasm even if the symptoms are bilateral.
Report of a Case
The patient, a lady aged 57, had complained of continual sore throat and bilateral otalgia for about one year. She had been generally unwell and lost 20 lb in weight. She had had a gland removed from the right side of her neck some months previously elsewhere, and although the histology showed it to be malignant, the primary tumor was not discovered.Initially, her local physician
HOLDEN H, HOWARD N. Bilateral Lymphoepithelioma of the Tonsils. Arch Otolaryngol. 1966;84(4):433–435. doi:10.1001/archotol.1966.00760030435012