Primary syphilis of the tonsil mimicking lymphoma <b>[Abstract in English]</b>

  • Viviane Feller Martha PUCRS
  • Nédio Steffen PUCRS
  • Aline Silveira Martha PUCRS
  • Juliana Jonhson Ferri PUCRS


Aims: To report an unusual case of syphilis affecting the tonsil and to review the literature on the subject. Case description: A 60 year-old Caucasian man presented a swelling of the right side of the neck, and hiponasal voice, four months following a surgery to remove an adenoma of the left submandibular gland. The physical examination showed cervical lymphadenopathy, and a computed tomography scan revealed a cervical mass. Fine-needle aspiration failed to rule out lymphoepithelioma. The right tonsil was clearly pathological and an extended right tonsillectomy was undertaken. A diagnosis of syphilis was established based on pathological analysis combined with blood tests results. Conclusions: While many chancres appear on the genitals, they may be seen anywhere on the body. The hallmark of syphilis is the absence of pain and the patient’s feeling of a lump in the throat. Although infrequent, syphilis should enter in the differential diagnosis of unilateral tonsillar hypertrophy.


Download data is not yet available.

Author Biographies

Viviane Feller Martha, PUCRS
Otorrinolaringologista, Mestre e Doutor em Medicina pela UFRGS, Preceptora PUCRS
Nédio Steffen, PUCRS
Mestre e Doutor em Medicina pela UNIFESP, professor da Faculdade de Medicina da PUCRS.
Aline Silveira Martha, PUCRS
Acadêmica de Medicina da PUCRS
Juliana Jonhson Ferri, PUCRS
Acadêmica de Medicina da PUCRS
How to Cite
Martha, V. F., Steffen, N., Martha, A. S., & Ferri, J. J. (2011). Primary syphilis of the tonsil mimicking lymphoma <b>[Abstract in English]</b>. Scientia Medica, 21(2), 67-68. Retrieved from
Case Reports