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Case Reports in Dentistry
Volume 2015, Article ID 518917, 6 pages
Case Report

Ectopic Oral Tonsillar Tissue: A Case Series with Bilateral and Solitary Presentations and a Review of the Literature

1Department of Dentistry Oral and Maxillofacial Surgery, Ogaki Municipal Hospital, 4-86 Minaminokawa, Ogaki, Gifu 503-8502, Japan
2Department of Oral and Maxillofacial Surgery and Stomatology, Okazaki City Hospital, 3-1 Goshoai, Koryuji-cho, Okazaki, Aichi 444-8553, Japan
3Department of Oral Medicine, King’s College London Dental Institute, WHO Collaborating Centre for Oral cancer/Precancer, Bessemer Road, London SE5 9RS, UK
4Department of Oral and Maxillofacial Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Mie 510-8567, Japan

Received 4 December 2014; Accepted 22 December 2014

Academic Editor: Pablo I. Varela-Centelles

Copyright © 2015 Masashi Kimura et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


An ectopic tonsil is defined as tonsillar tissue that develops in areas outside of the four major tonsil groups: the palatine, lingual, pharyngeal, and tubal tonsils. The occurrence of tonsillar tissue in the oral cavity in ectopic locations, its prevalence, and its developmental mechanisms that belong to its formation remain unclear. In this report, we describe a rare case of bilateral symmetric ectopic oral tonsillar tissue located at the ventral surface of the tongue along with two solitary cases arising from the floor of the mouth. The role of immune system and its aberrant response leading to ectopic deposits desires further studies. As an ectopic tonsil may simulate a benign soft tissue tumor, this case series highlights the importance of this entity in our clinical differential diagnosis of oral soft tissue masses.