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1

Schuchmann, M. Beth, Michael Miloro, and Carl M. Allen. "Asymptomatic parapharyngeal mass." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 83, no. 4 (1997): 420–22. http://dx.doi.org/10.1016/s1079-2104(97)90138-4.

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Lin, Chen, O. Hans Iwenofu, and Stephen Y. Kang. "Parapharyngeal Space Mass." JAMA Otolaryngology–Head & Neck Surgery 142, no. 7 (2016): 701. http://dx.doi.org/10.1001/jamaoto.2015.3697.

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Tomoda, Chisato, Fumio Matsuzuka, and Akira Miyauchi. "Parapharyngeal metastasis from papillary thyroid carcinoma: a case diagnosed by thyroglobulin measurement in peroral fine-needle aspiration of a cystic metastatic lymph node." Journal of Laryngology & Otology 119, no. 2 (2005): 155–57. http://dx.doi.org/10.1258/0022215053419952.

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We report a case of a parapharyngeal cystic metastatic lymph node arising from papillary thyroid carcinoma (PTC). Parapharyngeal metastases arising from PTC are rare and correct diagnosis of the parapharyngeal mass before surgery is difficult. In this case, the diagnosis of a parapharyngeal mass was made pre-operatively by thyroglobulin measurement in peroral fine-needle aspiration with negative cytology.
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Gupta, M., and M. Gupta. "A dangerous parapharyngeal mass." Case Reports 2011, jun19 1 (2011): bcr0420114084. http://dx.doi.org/10.1136/bcr.04.2011.4084.

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Kim-Orden, Natalie, Tamara Chambers, and Uttam Sinha. "Rapidly Enlarging Parapharyngeal Mass." JAMA Otolaryngology–Head & Neck Surgery 144, no. 12 (2018): 1178. http://dx.doi.org/10.1001/jamaoto.2018.2371.

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Sirotnak, John J., Thorn R. Loree, and Remedios Penetrante. "Papillary Carcinoma of the Thyroid Metastatic to the Parapharyngeal Space." Ear, Nose & Throat Journal 76, no. 5 (1997): 342–44. http://dx.doi.org/10.1177/014556139707600511.

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The parapharyngeal space is a complex anatomic area which can give rise to a variety of both primary and metastatic neoplasms. Squamous cell carcinoma can also present as a parapharyngeal space mass, either by direct extension or by metastases. Occult thyroid carcinoma presenting as a parapharyngeal space mass is a rare clinical occurrence which has been only sporadically reported in the medical literature. We present a case of occult papillary thyroid cancer with parapharyngeal space metastasis in the form of an isolated tumor, as well as a review of the literature on similiar presentations.
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Veitch, D., M. Rogers, and J. Blanshard. "Parapharyngeal mass presenting with sleep apnoea." Journal of Laryngology & Otology 103, no. 10 (1989): 961–63. http://dx.doi.org/10.1017/s0022215100110618.

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AbstractA 60-year-old man presented with a history of progressive sleep disturbance due to an intraoral parapharyngeal salivary gland tumour.The sleep study performed post-operatively showed rapid resolution of nocturnal hypoxic episodes. This appears to be the first recorded case of a parapharyngeal mass causing sleep apnoea and we review the current literature on obstructive sleep apnoea.
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Riskalla, A., A. Arora, F. Vaz, and P. O'Flynn. "Novel use of ultrasound-guided endo-cavitary probe to evaluate an impalpable parapharyngeal mass." Journal of Laryngology & Otology 124, no. 3 (2009): 328–29. http://dx.doi.org/10.1017/s0022215109991186.

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AbstractAim:We present a novel, previously undescribed technique of obtaining a biopsy from an inaccessible parapharyngeal space mass.Method:A modified endo-cavitary ultrasound probe was utilised to obtain an intra-oral, image-guided core biopsy of a parapharyngeal tumour. The parapharyngeal mass was not accessible to percutaneous ultrasound-guided biopsy due to its anatomical location.Conclusion:To our knowledge, this is the first such modification of the conventional endo-cavitary probe technique described in the literature. The technique permits accurate, well controlled biopsy of lesions l
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Oki, Yamato, Hiromitsu Hatakeyama, Masako Otani, et al. "Intraductal Carcinoma of the Parotid Gland Presenting as Parapharyngeal Mass." Biomedicine Hub 5, no. 3 (2020): 1–7. http://dx.doi.org/10.1159/000511677.

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Intraductal carcinomas are rare, malignant tumors that arise from the salivary glands. They commonly grow from the parotid gland and no cases growing from the parapharyngeal space have been reported to date. We report a 76-year-old man who was inadvertently found to have a parapharyngeal lesion by CT scans and MR imaging. The tumor was resected through an upper neck approach and diagnosed histopathologically as intraductal carcinoma. As far as we are aware, this is the first case of intraductal carcinoma arising from the parapharyngeal space. Here, we describe the management of this disease to
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International, Journal of Medical Science and Innovative Research (IJMSIR). "A Bolt from The Blue : Occult Thyroid Carcinoma Presenting As Parapharyngeal Mass." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 1 (2024): 27–29. https://doi.org/10.5281/zenodo.15363080.

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<strong>Background: </strong>The presence of ectopic thyroid tissue is a developmental disorder that affects about one per 100,000&ndash;300,000 people. It is extraordinarily rare for ectopic thyroid to lie outside its embryological path. This case is the first to report a papillary ectopic thyroid carcinoma in the parapharyngeal mass. <strong>Case Presentation: </strong>59-year-old male with nil comorbidities presented to our centre with painless growth in left lateral pharyngeal wall. Surprisingly histopathological report revealed papillary thyroid carcinoma in an abbrent thyroid appearing a
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Munjal, Manish, Porshia Rishi, Harjinder Sidhu, et al. "Trans-cervical approach to parapharyngeal space occupying lesion: case report." International Journal of Otorhinolaryngology and Head and Neck Surgery 7, no. 3 (2021): 540. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20210692.

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Kimura, Akari, Yutomo Seino, and Taku Yamashita. "Transoral endoscopic surgical approach to venous malformation of the parapharyngeal space." SAGE Open Medical Case Reports 8 (January 2020): 2050313X2093824. http://dx.doi.org/10.1177/2050313x20938248.

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We encountered a rare case of venous malformation located in the parapharyngeal space. The 65-year-old female patient did not have any symptoms, and the malformation was discovered incidentally during a clinical survey. Examination of the oral cavity revealed a mass in the left soft palate. Magnetic resonance imaging showed a well-defined mass in the left parapharyngeal space. Fine needle aspiration cytology suggested no malignancy. Four years after the first visit, she underwent surgery for diagnosis and treatment. We safely removed the mass with a rigid videoendoscope trans-orally. No postop
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Tandon, D. A., S. Bahadur, N. K. Misra, R. C. Deka, and K. Kapila. "Parapharyngeal neurofibromas." Journal of Laryngology & Otology 106, no. 3 (1992): 243–46. http://dx.doi.org/10.1017/s0022215100119164.

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AbstractThis paper is a retrospective study of 15 patients with parapharyngeal neurofibromas operated over a six year period. No patient presented with a neurological deficit. CT scans revealed a well encapsulated moderately enhancing mass in ten cases. The tumour was removed by a transcervical approach in ten cases while in five a cervical-transpharyngeal route with mandibulotomy was used; in three of the latter group the tumour was retropharyngeal. In two cases a recurrence was successfully excised. It was realized that a mandibulotomy was required when the internal carotid was displaced med
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Alim, Md Abdul, Rokshana Ahmed, Zerin Haque, et al. "CT-Scan Evaluation for the Detection of Benign Parapharyngeal Mass." Journal of National Institute of Neurosciences Bangladesh 7, no. 2 (2022): 118–21. http://dx.doi.org/10.3329/jninb.v7i2.58098.

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Background: Detection of benign parapharyngeal mass is very crucial for the management of the patients.&#x0D; Objective: The purpose of the present study was to evaluate the CT scan for the detection of benign parapharyngeal mass.&#x0D; Methodology: This cross-sectional study was carried out in the Department of Radiology and Imaging at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from July 2009 to April 2011 for a period of around two years. All the clinically suspected cases of parapharyngeal space mass lesions attended in the Otolaryngology and Radiology &amp; Imaging depa
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Farlow, Janice L., Jonathan B. McHugh, and Matthew E. Spector. "A Slow-Growing Fibrous Parapharyngeal Mass." JAMA Otolaryngology–Head & Neck Surgery 144, no. 10 (2018): 944. http://dx.doi.org/10.1001/jamaoto.2018.1570.

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Chauhan, Pankaj, Rita Khanoria, Disha Sharma, and Trilok C. Guleria. "Usual pathology at an unusual site - pleomorphic adenoma of parapharyngeal space: a rare case report." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 8 (2020): 1553. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203215.

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&lt;p class="abstract"&gt;The parapharyngeal space is an inverted triangular pyramid. Parapharyngeal space masses account for 0.5% of all head and neck tumours and the majority is benign. Minor salivary gland tumour is a rare entity. A 75 years old female presented with a mass left side soft palate, per operatively mass of size about 6×3 cm was deeply extending to left parapharyngeal space and excised through transoral approach which came out to be pleomorphic adenoma of minor salivary gland on histopathological examination. Although external approach should be preferred due to important struc
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Abdullah, Siti Nazira, Juani Hayyan Abdul Karaf, Vijayaprakash Rao A/L Ramanna, Najah Momin, and Irfan Mohamad. "Parapharyngeal lipoma mimicking parotid tumour in a 4-year-old boy." Pediatria i Medycyna Rodzinna 17, no. 1 (2021): 72–76. http://dx.doi.org/10.15557/pimr.2021.0012.

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Parapharyngeal space tumour is rare in paediatrics. It can either be a primary tumour arising from parapharyngeal space structures, an extension from the surrounding structures or a metastatic tumour. In adults, salivary gland tumours and paragangliomas are common, while neurogenic tumours predominate in paediatrics. The delicate anatomy in the parapharyngeal space makes the diagnostic procedures more complex, especially in paediatrics. Although tissue biopsy can be obtained under sedation or local anaesthesia, it is histologically difficult to differentiate lipoma from liposarcoma. We present
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Choi, David Leo, Kristina Brannock, and Alice L. Tang. "Castleman Disease Presenting as a Parapharyngeal Mass: A Case Report and Review of the Literature." Clinical Medicine Insights: Case Reports 12 (January 2019): 117954761985379. http://dx.doi.org/10.1177/1179547619853799.

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Objectives: Masses in the parapharyngeal space often pose a diagnostic and therapeutic challenge due to an inaccessible location for biopsy and proximity to critical neurovascular structures of the neck. The aims of this study are to describe a rare case of Castleman disease (CD) presenting in the parapharyngeal space. Methods: Case report of a 38-year-old male presenting to a tertiary care center and literature review. Results &amp; conclusions: The parapharyngeal space is an unusual location for CD. Surgeons, radiologists, and pathologists must be aware of this disease entity within the diff
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Dahman, H., I. Mansir, Y. Bouktib, et al. "Parapharyngeal Space Pleomorphic Adenoma: A Rare Case Report and Review of the Literature." Scholars Journal of Medical Case Reports 13, no. 05 (2025): 1093–95. https://doi.org/10.36347/sjmcr.2025.v13i05.083.

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Parapharyngeal space tumors are rare, accounting for less than 1% of all head and neck neoplasms [1]. Pleomorphic adenomas, although common in the salivary glands, are infrequent in this location. We report a case of a 45-year-old woman presenting with a parapharyngeal mass revealed by progressive dysphagia and a sensation of a foreign body in the throat. Magnetic resonance imaging (MRI) demonstrated a well-circumscribed mass arising from the deep lobe of the parotid gland and extending into the parapharyngeal space. Complete surgical excision via a transcervical approach was performed without
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Naseeruddin, Khaja. "Schwannoma of Parapharyngeal Space." International Journal of Head and Neck Surgery 3, no. 2 (2012): 118–20. http://dx.doi.org/10.5005/jp-journals-10001-1109.

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ABSTRACT Parapharyngeal tumors are rare and their surgical excision is challenging because of the anatomical complexicity of the area. They are late to present and symptomatology is varied till they become large in size. Herewith, a rare case of schwannoma probably arising from the cervical sympathetic chain is reported presenting as a mass in the parapharyngeal space. How to cite this article Naseeruddin K. Schwannoma of Parapharyngeal Space. Int J Head Neck Surg 2012;3(2): 118-120.
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Pal, Sudipta, Sampurna Pati, Somnath Saha, and Vedula Padmini Saha. "Carcinoma ex Pleomorphic Adenoma in the Parapharyngeal Space." Philippine Journal of Otolaryngology-Head and Neck Surgery 28, no. 1 (2013): 24–27. http://dx.doi.org/10.32412/pjohns.v28i1.499.

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Objective: To present a case of carcinoma ex pleomorphic adenoma in the parapharyngeal&#x0D; space and discuss its management.&#x0D; &#x0D; Methods:&#x0D; Design: Case Report&#x0D; Setting: Tertiary Government Teaching Hospital&#x0D; Subjects: One&#x0D; &#x0D; Results: A 40-year-old male patient with dysphagia for three months and a left-sided mucosa-covered oropharyngeal mass was found to have a prestyloid parapharyngeal lesion on CT Scans. Fine Needle Aspiration Cytology (FNAC) revealed a pleomorphic adenoma. With a past history of parapharyngeal pleomorphic adenoma excised transorally three
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Malipatil, Sharanabasappa Rudragouda, Ciju K. George, Isha Vidisha, and Ravindrakumar Ningappa Karadi. "Aberrant Thyroid in the Parapharyngeal Space." Bengal Journal of Otolaryngology and Head Neck Surgery 26, no. 1 (2018): 60–63. http://dx.doi.org/10.47210/bjohns.2018.v26i1.158.

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Introduction&#x0D; Aberrant thyroid is a mass of tissue having the structure of a normal or pathological thyroid gland and situated at some definite distance from normal thyroid, with which it has no connection. The prevalance of ectopic thyroid is 1 case per 100,000- 300,000 persons1 and the incidence of aberrant thyroid in parapharyngeal space is even rarer.&#x0D; Materials and Methods&#x0D; A rare case of aberrant thyroid in parapharyngeal space is reported, which presented as oropharyngeal mass and dysphagia. She also had thyroid gland in the usual position.&#x0D; Result&#x0D; She was mana
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Peng Hwa, Tiffany, Michael Cheng, and Babak Sadoughi. "Contemporary Management of Benign Parapharyngeal Lesions Using Minimally Invasive Techniques: Case Discussion and Review of the Literature." Biomedicine Hub 5, no. 3 (2020): 1–9. http://dx.doi.org/10.1159/000511133.

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Branchial anomalies can present in the parapharyngeal space, creating unique challenges in management. Historically, this approach warranted an open approach, including transcervical, transparotid with total parotidectomy and retromandibular dissection, or transmandibular dissection with mandibulotomy. However, the advent of minimally invasive transoral techniques and laser resection have allowed for successful resection of masses in this anatomical region without an external approach. We illustrate these advancements with the case of a 30-year-old man with globus sensation and throat discomfo
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Mishra, Suniti Raj, Shailendra Singh, Harendra Kumar Gautam, et al. "Vagal schwannoma in parapharyngeal space -anatomical perspective." Asian Journal of Medical Sciences 7, no. 2 (2015): 100–103. http://dx.doi.org/10.3126/ajms.v7i2.13072.

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A rare case of Schwannoma of Vagus nerve in Parapharyngeal Space was admitted in Otolaryngology department of GSVM Medical College, Kanpur, Uttar Pradesh, India. Schwannoma is a rare tumor in the Parapharyngeal Space. The patient was a 32 yr old male with chief complaints of difficulty in swallowing and swelling in the neck since last 4 years. On examination there was a firm swelling on right side of neck and uvula was deviated towards Left Side. On CT &amp; MRI examination a heterogenous mass was seen in Parapharyngeal space. The case was diagnosed as a case of vagal schwannoma in parapharyng
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Suniti R Mishra, Shailendra Singh, Harendra Kumar Gautam, et al. "Vagal schwannoma in parapharyngeal space -anatomical perspective." Asian Journal of Medical Sciences 7, no. 2 (2015): 100–103. https://doi.org/10.71152/ajms.v7i2.4055.

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A rare case of Schwannoma of Vagus nerve in Parapharyngeal Space was admitted in Otolaryngology department of GSVM Medical College, Kanpur, Uttar Pradesh, India. Schwannoma is a rare tumor in the Parapharyngeal Space. The patient was a 32 yr old male with chief complaints of difficulty in swallowing and swelling in the neck since last 4 years. On examination there was a firm swelling on right side of neck and uvula was deviated towards Left Side. On CT &amp; MRI examination a heterogenous mass was seen in Parapharyngeal space. The case was diagnosed as a case of vagal schwannoma in parapharyng
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Kumar, Harendra. "PLEOMORPHIC ADENOMA IN PARAPHARYNGEAL SPACE – A CASE REPORT AND REVIEW LITERATURE." UP STATE JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY 11, no. 1 (2023): 56–60. http://dx.doi.org/10.36611/upjohns/volume11/issue1/10.

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INTRODUCTION Parapharyngeal tumours account for 0.5% of all head and neck masses and vast majority are b e n i g n . P l e o m o r p h i c a d e n o m a s o f t h e parapharyngeal space arise from the deep lobe of parotid gland present in oropharynx. MATERIAL AND METHOD A case of benign tumor of Parapharyngeal Space was admitted in the Otorhinolaryngology department of a tertiary care centre. The patient was a 26yr old female presented with chief complaints of difficulty in swallowing and swelling in the oral cavity since 2 months. On examination there was a firm swelling on right submandibula
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Maschka, Donald A., Donald P. Mueller, and Kenneth D. Dolan. "Carotid Space Mass Distorting the Parapharyngeal Space." Annals of Otology, Rhinology & Laryngology 102, no. 7 (1993): 562–63. http://dx.doi.org/10.1177/000348949310200713.

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Ralli, Massimo, Marco de Vincentiis, and Antonio Greco. "Large parapharyngeal mass: a challenging differential diagnosis." Lancet Oncology 19, no. 3 (2018): e181. http://dx.doi.org/10.1016/s1470-2045(17)30579-x.

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Wallisch, Benjamin, Issac Zoch, Moustafa Maita, et al. "Obstructing parapharyngeal mass requiring retrograde wire intubation." Trends in Anaesthesia and Critical Care 30 (February 2020): e144-e145. http://dx.doi.org/10.1016/j.tacc.2019.12.353.

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Uno, Yoshifumi, Ryusuke Saito, Kazunori Nishizaki, Hisako Matsuoka, and Makoto Kanadani. "Thyroid carcinoma presenting as a parapharyngeal mass." Practica Oto-Rhino-Laryngologica 84, no. 1 (1991): 77–81. http://dx.doi.org/10.5631/jibirin.84.77.

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Robbins, K. Thomas, and Gayle E. Woodson. "Thyroid carcinoma presenting as a parapharyngeal mass." Head & Neck Surgery 7, no. 5 (1985): 434–36. http://dx.doi.org/10.1002/hed.2890070514.

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Pradhan, Prita, Rudra Narayan Biswal, Khageswar Rout, et al. "Clival chordoma presenting as a parapharyngeal mass: a diagnostic challenge." International Journal of Otorhinolaryngology and Head and Neck Surgery 5, no. 4 (2019): 1112. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20192741.

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&lt;p class="abstract"&gt;Though the parapharyngeal space is sites of primary involvement by neoplastic process, they can rarely house masses descending from a base of skull tumour. Chordoma is an uncommon tumour of the skull base and sacrococcyx. Originating from the notochordal remnants, they are locally aggressive causing lytic destruction of the adjacent bony structures, particularly in the base of the skull. The use of surgery and adjuvant high-dose proton RT is documented to produce best results. Here we report a diagnostic challenge posed by a chordoma occurring as a parapharyngeal mass
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Salimov, Asif, Ahmet E. Suslu, Serdar Ozer, Taner Yilmaz, and Hatice IY Bajin. "Unusual Location for Langerhans Cell Histiocytosis: Basisphenoid extended to Parapharyngeal Space." An International Journal of Otorhinolaryngology Clinics 8, no. 1 (2016): 38–40. http://dx.doi.org/10.5005/jp-journals-10003-1224.

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ABSTRACT Langerhans cell histiocytosis (LCH) is a rare disease with unknown etiology involving abnormal proliferation of histiocytes. We hereby describe an LCH that has a rare location. A 4-year-old female patient was referred to our clinic with headache lasting for 2 months. Magnetic resonance imaging (MRI) showed an expansile mass on the level of basisphenoid extended to the right parapharyngeal space with dense contrast enhancement. The patient underwent endoscopic endonasal transsphenoidal surgery for biopsy of the mass. Immunohistochemical and pathological studies confirmed LCH diagnosis.
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McNeill, E. J. M., P. R. Samuel, and S. England. "Lipoma of the parapharyngeal space." Journal of Laryngology & Otology 120, no. 2 (2006): 1–3. http://dx.doi.org/10.1017/s0022215105009990.

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A 75-year-old gentleman presented to our department with dysphagia, nocturnal cough and dysphonia. Clinical examination revealed a large parapharyngeal mass extending from the left nasopharynx to the glottis. A magnetic resonance imaging scan confirmed the lipomatous nature of the lesion and elegantly demonstrated its anatomy. We discuss the aetiology and management of such lesions and focus on the diagnostic radiology of the parapharyngeal space.
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Rawat, Digvijay Singh, Divij Sonkhya, Nishi Sonkhya, and Shubha Gupta. "Myoepithelial Cell-Rich Pleormorphic Adenoma of Minor Salivary Gland of Parapharyngeal Space." Case Reports in Otolaryngology 2012 (2012): 1–3. http://dx.doi.org/10.1155/2012/537381.

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Parapharyngeal space tumors are rare and constitute only 0.5–1.0% of head and neck tumors. Minor salivary gland tumor is still rare in parapharyngeal space. We are reporting a case of pleomorphic adenoma of minor salivary gland of parapharyngeal space. A 42-year-old female presented with a history of mass in the oropharynx for 3 years. She presented with “hot potato voice” and dysphagia. CECT and MRI were done, showing large parapharyngeal space tumor. FNAC was suspicious for tumor of nerve cell origin. Tumor was excised using “paramedian mandibulotomy with mandibular swing approach”. Histopat
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Fishero, Brian A., Kelly M. Guido, Howard S. McGuff, Josefine M. Heim-Hall, and Frank R. Miller. "Hemangiopericytoma of the Parapharyngeal Space." Ear, Nose & Throat Journal 92, no. 9 (2013): 436–40. http://dx.doi.org/10.1177/014556131309200908.

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Hemangiopericytomas of the head and neck are rarely found in the parapharyngeal space. We report the case of a 53-year-old woman who presented with a globus sensation in her throat. Imaging detected a left submucosal oropharyngeal mass that extended into the prestyloid parapharyngeal space. The tumor was surgically excised en bloc. Histopathologic examination identified it as a hemangiopericytoma. We discuss the diagnosis and management of this rare entity.
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Ferrario, Fulvio, Raffaele Roselli, and Alberto Macchi. "Occult thyroid carcinoma presenting as a parapharyngeal mass." Journal of Laryngology & Otology 109, no. 12 (1995): 1204–6. http://dx.doi.org/10.1017/s0022215100132451.

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AbstractThis report describes a 47-year-old male who had an occult papillary carcinoma of the thyroid present as a nodal involvement of the parapharyngeal space, in the retrostyloid compartment. To the best of our knowledge, this is an extremely rare condition.
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Koc, S., L. Gürbüzler, H. Yaman, A. Eyibilen, N. Salman, and A. Ekici. "Tularaemia presenting as parapharyngeal abscess: case presentation." Journal of Laryngology & Otology 126, no. 5 (2012): 535–37. http://dx.doi.org/10.1017/s0022215112000096.

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AbstractObjective:We report an extremely rare case of the oropharyngeal form of tularaemia, causing a parapharyngeal abscess.Case report:A 48-year-old woman presented with fever, sore throat, breathing difficulty and a right-sided neck swelling. This mass had previously been treated with penicillin without response, and had already been surgically drained once in another hospital. On physical examination, the tonsils were exudative and hypertrophic and the pharynx was hyperaemic. A fluctuant, 4 × 4 cm mass was seen on endoscopic examination, originating from the left parapharyngeal area and pr
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Mushi, E., and S. Winter. "Management of an incidental malignant peripheral nerve sheath tumour in the parapharyngeal space." Journal of Laryngology & Otology 127, no. 1 (2012): 104–6. http://dx.doi.org/10.1017/s0022215112002459.

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AbstractBackground:Parapharyngeal space tumours are uncommon and represent 0.5–1 per cent of all head and neck neoplasms; 20–30 per cent of these are malignant. Malignant peripheral nerve sheath tumours are rare and mostly encountered in patients with neurofibromatosis type 1. Only four cases of parapharyngeal space tumours have been reported in the English language in patients without neurofibromatosis type 1.Case report:We report the case of a 64-year-old man with no stigmata of neurofibromatosis type 1, in whom a mass in the left pre-styloid region of the parapharyngeal space was an inciden
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Khademi, Bijan, Yahya Daneshbod, Shahrzad Negahban, et al. "Biphasic parapharyngeal synovial sarcoma : A cytologic and immunocytologic report of a case." CytoJournal 3 (August 14, 2006): 20. http://dx.doi.org/10.1186/1742-6413-3-20.

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Background: Synovial sarcoma is a rare soft tissue sarcoma in the head and neck region and parapharyngeal space. There is no previous cytologic report of synovial sarcoma of parapharynx. The cytologic and immunocytochemical findings of a parapharyngeal biphasic synovial sarcoma together with diagnostic pitfalls are described. Case report: A 21-year-old girl presented with a 6-month history of progressive right arm pain, neck mass and upper aerodigestive tract obstruction. On physical examination there was a large painless mass arising from the right-sided parapharyngeal space causing airway ob
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Madala, Sudhakara Rao, Tripuraneni Satish Chandra, Akkineni Anusha, and Katireddy Vyshnavi. "Atypical Presentation of Parapharyngeal Lesions." Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery 8, no. 2 (2024): 32–36. https://doi.org/10.4103/aiao.aiao_14_24.

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Abstract The incidence of parapharyngeal space (PPS) tumors is less, approximatively accounting for 0.5%–1.5% of all head and neck neoplasms. Of these PPS tumors, most of them are benign (70%–80%) and 20%–30% are malignant in nature. We present the case of a PPS tumor with atypical presentation on examination and an unusual progression in tumor growth. A 37-year-old female presented with chief complaints of snoring and change in voice, which was muffled in nature, since 6 months and complained of difficulty in breathing since 1 month, especially in performing activities. On examination, the or
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Gupta, Ashok K., Karan Gupta, Kim Vaiphei, and Darwin Kaushal. "Osteochondroma of the Parapharyngeal Space: A Rare Case Report." An International Journal of Otorhinolaryngology Clinics 5, no. 3 (2013): 142–44. http://dx.doi.org/10.5005/jp-journals-10003-1129.

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ABSTRACT Extraskeletal osteochondroma in parapharyngeal space is very rare. It is important to note that such a diagnosis be considered when a discrete, ossified mass is localized in soft tissues, even at atypical sites. Its diagnosis is based on radiological and histopathological examination. We should be clinically aware of this benign entity as no malignant transformation or metastasis has been reported. Excision with adequate cuff of tissue is treatment of choice. We did not encounter any case report of osteochondroma in the parapharyngeal space in literature, with our best possible effort
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Pankaj, Chaturvedi, Pai Prathamesh, Ruta Goregaonkar, Seethalakshmi Viswanathan, and SV Kane. "Solitary Fibrous Tumor Presenting as a Parapharyngeal Mass." International Journal of Head and Neck Surgery 1, no. 1 (2010): 29–33. http://dx.doi.org/10.5005/jp-journals-10001-1006.

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Abstract Solitary fibrous tumors (SFT) rarely occur in the neck region and can be easily mistaken for more common tumors if the index of suspicion is not high. They are characterized by remarkable histologic variability. However, immunopositivity for CD34 and Bcl2 with immunonegativity for other markers aid in establishing the diagnosis. Distinction from the other common benign entities is essential, as SFT are tumors of low grade aggressiveness and unpredictable biologic behavior. Complete resection is the key feature determining outcome.
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Mokhtar, Shaariyah Mohd, Mazita Ami, Masaany Mansor, Razif Mohd Yunus, Isa Mohamed Rose, and Asma Abdullah. "Synovial sarcoma: a rare presentation of parapharyngeal mass." Chinese Journal of Cancer 29, no. 6 (2010): 631–33. http://dx.doi.org/10.5732/cjc.009.10569.

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Gurunathan, Sundhar Krishnan, and Vikram V.J. "ENDOSCOPIC INTRAORAL APPROACH TO PARAPHARYNGEAL MASS: CASE SERIES." Journal of Evidence Based Medicine and Healthcare 3, no. 63 (2016): 3414–18. http://dx.doi.org/10.18410/jebmh/2016/735.

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Anagiotos, Andreas, Simon Florian Preuss, Uta Drebber, and Masen Dirk Jumah. "Multiple craniocervical chordomas presenting as a parapharyngeal mass." Head & Neck 35, no. 11 (2012): E325—E327. http://dx.doi.org/10.1002/hed.23185.

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K., Manjunath, Amardeep Singh, and Smitha V. "Parapharyngeal schwannomma: a case report." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 4 (2020): 799. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20201304.

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&lt;p class="abstract"&gt;Schwannomas are uncommon neurogenic tumors that are typically benign, slow growing, and asymptomatic. Upto 45% of schwannomas arise from the head and neck region, the sites of origin are: face, scalp, intracranial cavity, orbit, nasal and oral cavities, parapharyngeal space, middle ear, mastoid, larynx, and medial and lateral regions of the neck. The age distribution is 30 to 70 years and male:female 3:1. Symptoms and signs are neck swelling (54%), pain (11%), cranial nerve palsy (10%), oropharyngeal swelling (8%), dysphagia (6%) and trismus, otalgia (11%). This case
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Mohamed, M. M., and K. D. R. A. Kirihena. "Lymphoma presenting as a parapharyngeal space tumour." Ceylon Journal of Otolaryngology 13, no. 1 (2024): 83–86. http://dx.doi.org/10.4038/cjo.v13i1.5370.

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Among all head and neck tumours, approximately 0.5% to 0.8% localize in the parapharyngeal space, with Non-Hodgkin’s lymphomas in this region being exceptionally rare. They are documented in the literature either as isolated cases or in small case series. Here, we present a case involving a middle aged man who exhibited 4 month history of dysphagia and hoarse voice. Upon examination, showed a bulged left side of the soft palate and medialization of the pharyngeal wall. CT and MRI revealed a large lesion in the left parapharyngeal region pushing the pharynx anteromedially. Similar intensity enh
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Acosta-Vásquez, C., L. Uceda-Carrascosa, F. Leiva-Cepas, and L. Rodríguez-Pérez. "Rhabdomyoma of the parapharyngeal space." ACTUALIDAD MEDICA 106, no. 106(813) (2021): 215–17. http://dx.doi.org/10.15568/am.2021.813.cc05.

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Rhabdomyoma is a benign tumor that comes from skeletal tissue, it is classified as cardiac and extracardiac according to the location. Extracardiac rhabdomyomas most frequently originate in the head and neck at the larynx and pharynx, being the parapharyngeal space an exceptional location. We present the clinical case of an 86-year-old man asymptomatic patient with a laterocervical mass with years of evolution, that has increased its size progressively, with dysphagia and dyspnea on exertion in the last years. CT and MRI were requested, which provided dimensions, location at the parapharyngeal
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Gupta, Ashok K., Karan Gupta, Kim Vaiphei, and Darwin Kaushal. "Osteochondroma of the Parapharyngeal Space: A Rare Case Report." An International Journal of Otorhinolaryngology Clinics 5, no. 4 (2013): 30–32. http://dx.doi.org/10.5005/aijoc-5-4-30.

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ABSTRACT Extraskeletal osteochondroma in parapharyngeal space is very rare. It is important to note that such a diagnosis be considered when a discrete, ossified mass is localized in soft tissues, even at atypical sites. Its diagnosis is based on radiological and histopathological examination. We should be clinically aware of this benign entity as no malignant transformation or metastasis has been reported. Excision with adequate cuff of tissue is treatment of choice. We did not encounter any case report of osteochondroma in the parapharyngeal space in literature, with our best possible effort
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