A Large Parapharyngeal Mass in A Five-Year-Old Girl: A Case Report
-
Kayvan Aghazadeh
,
Reza Erfanian Azimzade Khosravi
,
Farrokh Heidari
,
Nasim Sodagari
,
Sepideh Karvanian
,
Benyamin Rahmaty
Abstract
Lesions in the parapharyngeal space are rare and account for 0.5-1.5% of all head and neck tumours. Of these, venous malformations represent 1% of all parapharyngeal space tumors. In the current paper, we reported a 5-year-old patient who presented with a soft tissue swelling of the parapharyngeal space that was discovered by her parents after two weeks following adenoidectomy. The MRI revealed a tumour within the parapharyngeal space with a well-defined mass with low-signal intensity on T1 and high on T2. The internal flow voids also proposed phleboliths. Therefore, the tumour was removed by an intraoral approach. The post-op pathology result explicated a venous malformation.
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8. Eivazi B, Fasunla AJ, Güldner C, Masberg P, Werner JA, Teymoortash A. Phleboliths from head and neck venous malformations. Phlebology. 2013;28:86-92.
9. Steinklein J, Shatzkes D. Imaging of Vascular Lesions of the Head and Neck. Otolaryngol Clin North Am 2018;51:55-76.
2. Work W, Hybels R. A Study of Tumors of the Parapharyngeal Space. Laryngoscope 1974;84:1748-55.
3. Miller FR, Wanamaker JR, Lavertu P, Wood BG. Magnetic resonance imaging and the management of parapharyngeal space tumors. Head Neck 1996;18:67-77.
4. Kuet ML, Kasbekar AV, Masterson L, Jani P. Management of tumours arising from the parapharyngeal space: A systematic review of 1,293 cases reported over 25 years. Laryngoscope 2015;125:1372-81.
5. Lowe L, Marchant T, Rivard D, Scherbel A. Vascular Malformations: Classification and Terminology the Radiologist Needs to Know. Semin Roentgenol 2012;47:106-17.
6. Wassef M, Blei F, Adams D, Alomari A, Baselga E, Berenstein A, et al. Vascular Anomalies Classification: Recommendations From the International Society for the Study of Vascular Anomalies. Pediatrics 2015;136:1-12.
7. Tomblinson CM, Fletcher GP, Lidner TK, Wood C, Weindling SM, Hoxworth JM. Parapharyngeal Space Venous Malformation: An Imaging Mimic of Pleomorphic Adenoma. AJNR Am J Neuroradiol 2019;40:150-3.
8. Eivazi B, Fasunla AJ, Güldner C, Masberg P, Werner JA, Teymoortash A. Phleboliths from head and neck venous malformations. Phlebology. 2013;28:86-92.
9. Steinklein J, Shatzkes D. Imaging of Vascular Lesions of the Head and Neck. Otolaryngol Clin North Am 2018;51:55-76.
| Files | ||
| Issue | Vol 61 No 3 (2023) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/acta.v61i3.12742 | |
| Keywords | ||
| Parapharyngeal space venous malformation | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Aghazadeh K, Erfanian Azimzade Khosravi R, Heidari F, Sodagari N, Karvanian S, Rahmaty B. A Large Parapharyngeal Mass in A Five-Year-Old Girl: A Case Report. Acta Med Iran. 2023;61(3):187-190.
