Parapharyngeal space tumors: considerations in 26 cases

Sao Paulo Medical Journal

Alfio José Tincani¹  Antonio Santos Martins¹  Albina Altemani¹  Rui Carlos Scanavini Jr.¹  Gilson Barreto¹  Henriette De Toledo Lage¹  João Batista Valério¹  Giulianno Molina¹ 

[1] ,Universidade Estadual de Campinas (UNICAMP)Campinas,Brazil

关键词: Parapharyngeal Space Tumors;    Head and Neck Tumors;    Parapharyngeal Neoplasms;    Head and Neck Surgery;   

DOI  :  10.1590/S1516-31801999000100006

来源: SciELO

【 摘 要 】

CONTEXT: Parapharyngeal space tumors comprise less than 0.5% of all head and neck neoplasms.1 The majority of these tumors are benign, but surgery is usually required to establish the diagnosis and treat the patients. We present 26 patients treated surgically for tumors arising in the parapharyngeal space (PPS) at the State University of Campinas Hospital – UNICAMP.CASES SERIE: Of these, 17 (65.5%) had benign and 9 (34.6%) malignant neoplasms. The surgical and pathological data relevant to these cases are highlighted, observing any local recurrence, surgical complications and the five-year survival. Neurogenic tumors and soft tissue sarcomas were, respectively, the most frequent benign (35.3%) and malignant neoplasms (44.5%). Benign tumors accounted for the majority of the cases and involved minimal surgical morbidity with no recurrence during a median follow-up of five years. Malignant tumors had a high rate of recurrence and mortality. Surgery is the treatment of choice for PPS tumors. A knowledge of the anatomy of this site is essential for the safe performance of surgical procedures. Malignant neoplasms have a poor prognosis. Fine needle aspiration was helpful in diagnosis of all tumors.

【 授权许可】

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