A polypoid, pedunculated tumour of the left palatine tonsil was incide
ntally detected in a 42-year-old female. It was composed of mature fat
and was covered by a nonkeratinizing squamous epithelium with an unde
rlying rim of fibrous tissue. The literature on tonsillar lipoma is re
viewed and the differential diagnosis of polypoid lesions of the tonsi
l is discussed.