Tonsillar Location of Skin Kaposi’s Sarcoma: A Case Report

We report a case of rare tonsillar location of Kaposi’s sarcoma observed in a non infected HIV man, who had a long history of skin kaposi’s disease during 28 years. Irradiation of skin lesions on lower limbs was succefully carried out with a dose of 30Gy on 10 fractions. Faced with the late appearance of dysphonia, we discover a locally advanced tonsillar location, and the PET- CT showed other distant supra and subdiaphragmatic lymph nodes involvements. After a first tracheotomy, the patient is treated by radiotherapy, 45 Gy on 25 fractions followed one month later by three cycles of chemotherapy based on Paclitaxel weekly regimen. We noted good locally reponse with no major toxicities after a three month follow up.