Inflammatory myofibroblastic tumours are aetiologically enigmatic, nos
ologically confusing and biologically unpredictable lesions. The lungs
are the organs of apparent predilection. These tumours have also been
documented in a number of extrapulmonary sites including the head and
neck. So far only two cases of inflammatory myofibroblastic tumour of
the tonsil have been reported in the English literature. We document
another case, occurring in a 41-year-old man with history of cadaveric
renal transplant nine pears ago. A comprehensive review of the litera
ture is also presented.