chapter
5 Pages

Clinical picture

Tumours occur rarely on the posterior pharyngeal wall but more commonly in the tonsil. The typical presentation is with an ulcerating mass which may be initially painless but becomes painful as it begins to invade surrounding tissues, and typically may involve the glossopharyngeal nerve with pain referred to the ear. A gland in the neck is a common accompaniment because of the rich lymphatic drainage of the tonsil.