scholarly journals Parapharyngeal Schawannnoma. Case Report

2021 ◽  
Vol 21 (4) ◽  
pp. 874-880
Author(s):  
Enrique Moyano Navarro ◽  
Manuel Inostroza Fernández ◽  
Pedro P. Sotelo Jiménez ◽  
Ethel Vargas Carrillo ◽  
Alan La Torre Zúñiga ◽  
...  

Parapharyngeal tumor lesions present a low incidence, representing between 0,5 and 0,8% of all head and neck tumors. Approximately 80% show benign behavior. The uniqueness of these lesions derives from their complex anatomical situation and the symptoms with which they usually appear, being in most cases nonspecific and almost always derived from the compressive effect produced by the lesion on the oropharynx and the oropharynx. Schwannomas of the parapharyngeal space are very rare tumors that originate from the sheath of schawnn, generally slow growing, and are usually asymptomatic. Treatment is surgical, often complex due to the anatomical location.The case of a 42-year-old female patient with a diagnosis of Schwannoma in the left parapharyngeal region, demonstrated by incisional biopsy, is presented; undergoing surgical treatment, which was carried out without complications.

2013 ◽  
Vol 43 (1) ◽  
Author(s):  
Marlinda Adham ◽  
Novra Widayanti

Background: Parapharyngeal space tumors account for some 0.5% of tumors of the head and neck, most ofthem benign. The most common benign neoplasms are salivary gland neoplasm, paragangliomas and followed byneurogenic tumors. The importance of these tumors lies mainly in two aspects, the difficulty of early diagnosis,due to the lack of symptoms in the initial stages and, on the other hand, the extreme risk of complications inperforming surgery in the parapharyngeal region. Purpose: We present this case to enlighten generalpractitioners and also otorhinolaryngologist about diagnosis and management of parapharyngeal tumor. Case:One clinical case of neuroendocrine tumor in parapharyngeal space on a 37 years old man. Management: Thepatient underwent diagnosis procedure and extirpation of the tumor mass. Conclusion: Parapharyngeal tumor isone of head and neck tumors that has good prognosis, especially if diagnosed early and adequately treated.Keywords: neuroendocrine tumor, parapharyngeal space, benign tumor.ABSTRAKLatar belakang: Tumor parafaring meliputi sekitar 0,5% dari seluruh tumor kepala dan leher, sebagianbesar jinak. Tumor jinak yang paling sering adalah tumor kelenjar liur, paraganglioma dan tumor neurogenik.Tumor parafaring ini penting disebabkan sulit untuk melakukan diagnosis dini karena sedikitnya gejala padatahap awal dan kemungkinan komplikasi yang dapat terjadi pada saat dilakukan tindakan bedah di daerahparafaring. Tujuan: Kasus ini diajukan agar para dokter umum dan spesialis Telinga Hidung Tenggorok dapatmengenali diagnosis dan penatalaksanaan tumor parafaring. Kasus: Dilaporkan satu kasus tumorneuroendokrin parafaring pada laki-laki usia 37 tahun. Penatalaksanaan: Pada pasien ini dilakukan proseduruntuk mendiagnosis tumor dan dilakukan ekstirpasi massa tumor. Kesimpulan: Tumor parafaring merupakansalah satu dari tumor kepala dan leher yang mempunyai prognosis baik terutama bila didiagnosis secara dinidan diterapi secara adekuat.Kata kunci: Tumor neuroendokrin, spatium parafaring, tumor jinak.


2020 ◽  
Vol 10 (2) ◽  
pp. 85-89
Author(s):  
L. G. Kozhanov ◽  
А. L. Kozhanov ◽  
Yu. Yu. Vyaltseva ◽  
А. V. Egorova ◽  
S. V. Chulkova

The objective is to report a rare case of laryngeal cancer in spouses. Case report. A 59-year-old female patient was admitted to the Department of Head and Neck Tumors in December 2019 with complaints of hoarseness. In 1997, she had radiotherapy for T1N0M0 laryngeal cancer. After comprehensive examination, she was diagnosed with recurrent laryngeal cancer. The patient has undergone frontolateral laryngeal resection. A 67-year-old male patient was admitted to the Department of Head and Neck Tumors in November 2019 with T3N0M0 laryngeal cancer (diagnosed 2 months before). He has undergone extended frontolateral laryngeal resection followed by radiotherapy in the postoperative period. Discussion. Both patients had no risk factors, such as occupational hazards or smoking. However, both spouses had close relatives with cancer, what indicates their genetic predisposition to malignant tumors. The female patient was found to have human papilloma virus (HPV) in the tumor cells, whereas her spouse was HPV-negative, although rapid histology showed indirect signs of HPV, which does not exclude the elimination of HPV. Conclusion. In this rare case of laryngeal cancer diagnosed in two non-consanguineous spouses, the disease is likely to be caused by their hereditary predisposition, HPV infection, and the fact that they lived in the same socioeconomic conditions.


2001 ◽  
Vol 127 (9) ◽  
pp. 1086 ◽  
Author(s):  
Hadi Seikaly ◽  
Karen H. Calhoun ◽  
Jana S. Stonestreet ◽  
Christopher H. Rassekh ◽  
Brian P. Driscoll ◽  
...  

1970 ◽  
Vol 10 (1) ◽  
pp. 57-59
Author(s):  
M Irfan ◽  
RR Ramli ◽  
AK Shamim ◽  
A Pohchi

Although osteosarcoma is the most common primary bone cancer, the incidence in head and neck bony structures is extremely low. As the surgical treatment requires a wide margin excision, the operation usually will be very challenging especially if it involves midline structures. We report a case of a young gentleman who had a bony growth over the epicenter of the hard palate which rapidly occupies the whole oral cavity within 6 months duration. The outline of management is discussed. Keywords: Osteosarcoma; hard palate. DOI: 10.3329/bjms.v10i1.7322 Bangladesh Journal of Medical Science Vol.10 No.1 Jan 2010 pp.57-59


1996 ◽  
Vol 75 (10) ◽  
pp. 681-684 ◽  
Author(s):  
Kunal Gangopadhyay ◽  
Khalid Taibah ◽  
M. Babu Manohar ◽  
Hala Kfoury

Solitary fibrous tumors are uncommon spindle cell neoplasms generally associated with serosal surfaces, especially the pleura. Recently, these tumors have been documented in a number of extrapleural sites including the head and neck. So far only two cases of parapharyngeal solitary fibrous tumor have been reported in the English literature. Rare location of an uncommon lesion often gives rise to difficulty in diagnosis or to misdiagnosis. In both the previously reported cases, as well as in our case, the diagnosis of solitary fibrous tumor was not made until the excised tumor was subjected to histopathology and immunohistochemistry.


2007 ◽  
Vol 121 (5) ◽  
pp. 1-4 ◽  
Author(s):  
S Ayache ◽  
D Chatelain ◽  
B Tramier ◽  
V Strunski

Objectives: To describe the features of an oropharyngeal and hypopharyngeal myxoma.Materials and methods: Case report of a 34-year-old patient operated upon for a dual-location tumour, and review of the literature.Results: The myxoma is a rare tumour. Various head and neck locations have been described, but not (to our knowledge) a tumour in both the oropharynx and the hypopharynx. Multiple synchronous locations must be searched for, particularly regarding cardiac myxoma.Conclusion: The myxoma is a rare, benign tumour, even rarer in the head and neck. Surgical treatment must be complete in order to avoid recurrences, and should be performed after assessment for cardiac involvement.


2018 ◽  
Vol 72 (4) ◽  
pp. 6-12
Author(s):  
Ewa Osuch-Wójcikiewicz ◽  
Anna Rzepakowska ◽  
Zuzanna Krupa ◽  
Aneta Durmaj ◽  
Kazimierz Niemczyk

Introduction: Parapharyngeal space (PPS) is the anatomical area lateral to the upper pharynx and clinically important due to PPS tumors. They account for less than 1% of head and neck neoplasms. Both benign and malignant neoplasms may arise there and typical for this localization is diversity of histological origin. Complete surgical excision is still the basis of treatment. Aim of the study: Evaluation of the results of surgical treatment of PPS tumors in the Department of Otolaryngology at the Medical University over the period 2015-2017. Material and methods: A retrospective analysis of medical records including complaints, physical examination, results of imaging studies, surgical approach, postoperative complication and histopathological results in 22 patients with a diagnosis of a PPS tumors. Results: The most frequent complaints reported by the patients were: discomfort in the throat, dysphagia, hearing disorders and a palpable tumor on the neck. Asymptomatic course of the disease was demonstrated in 4 cases. All patients were treated surgically: 2 with transoral approach, 9 with transparotid-transcervical approach, 11 with transcervical approach. In most cases the tumor was removed radically. In 2 patients intracapsular tumor resection was performed. Based on histopathological examination the benign lesions dominated (18/22). In 4 cases malignant neoplasms were diagnosed: carcinoma ex pleomorphic adenoma, adenoid cystic carcinoma and two cases of squamous cell carcinoma. The most common origin of PPS tumors was deep lobe of parotid gland and for this group 11 patients had diagnosis of pleomorphic adenoma. Other diagnosis included: paraganglioma, neurofibroma, hemangioma, lymphangioma and rhabdomyoma. Postoperative complications occurred in 9 patients and presented as hoarseness and dysphagia due to paresis of the lower group of cranial nerves (IX, X, XII). Significant intraoperative bleeding during surgery occurred in 2 cases and ligation of the external carotid artery was necessary. Conclusion: Due to the anatomical topography of PPS and its content with the essential vessels and the lower group of cranial nerves, the surgical treatment of pathology of this area is still a challenge for head and neck surgeons. The decrease of voice quality and impaired speech and swallowing should always be considered as complications post the surgical resection in PPS.


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