Infrequently in adults, isolated lesions of the upper airway, larynx, and trachea can produce obstructive sleep apnea (OSA). We describe a case of OSA found to be caused by tonsillar lymphoma presenting as asymmetric tonsillar hypertrophy. Tonsillar lymphoma is rare, but can present as hypertrophied tonsils and/or adenopathy and lead to the development of OSA. This report emphasizes the importance of a thorough upper airway examination of all patients undergoing evaluation for OSA.
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The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/14592180