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of the palatine tonsil and is often mistaken clinically for a neoplasm. 1 We present a case of tonsillar lymphangiomatous polyp in a nineteen-year-old male who underwent bilateral tonsillectomy for asymmetry. Macroscopically a polypoid lesion was noted extending from the mucosal aspect of the specimen. Microscopically the polyp was comprised of a core of dilated lymphatic channels separated by fibrous and adipose tissue. The outer surface was covered with stratified squamous epithelium. Tonsillar lymphangiomatous polyp is a diagnosis that should be considered in the differential of lesions presenting in the palatine tonsil. References 1. Kardon DE, Wenig BM, Heffner DK, et al. Tonsillar lymphangiomatous polyps: a clinicopathologic series of 26 cases.