Clinical Challenge

A Pulsatile Peritonsillar MassA Pulsatile Peritonsillar Mass—CaseA Pulsatile Peritonsillar Mass—Diagnosis

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2026.1398

June 11, 2026 at 11:00 AM EDT

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A 58-year-old woman presented with a 2-day history of sore throat and progressive right-side pharyngeal discomfort. Endoscopic examination revealed a smooth submucosal mass in the right peritonsillar region with visible pulsation. What is your diagnosis?

Corresponding Author: Yu-Hsi Liu, MD, Department of Otolaryngology–Head and Neck Surgery, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung 813, Taiwan (felixlui0503@gmail.com).

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