[Clinical, computerized tomography and pathological findings of lesions in the parapharyngeal space]

Rev Med Chir Soc Med Nat Iasi. 2008 Jul-Sep;112(3):620-9.
[Article in Romanian]

Abstract

We present the clinical, computer tomografic and patological findings of current lesion of the parapharyngial space.

Material and method: We retrospectivly analised the clinical, cross-sectional imaging files and the patological results for 33 patients explored during January 2006-March 2008 by a medical team at the "Prof. Dr. N. Oblu" Clinical Hospital.

Results: In our study we didn't find primitive lesions in the parapharyngial space but, we explored 33 lesions extended in the parapharyngial space with origins around the parapharyngial space. The most frequent hystological types of tumor were represented by squamous cell carcinoma of nasopharyngs (n = 22), followed by primitive lesions in to the infratemporal phosa (n = 5). We had also 2 tumoral cases of the parotyd gland, one of the skull base and 3 facial fractures with involvement in to the parapharyngial space.

Conclusion: The infiltrations of parapharyngial space by different lesions require Computer tomographic exams for a precise evaluation of the extension of the lesions, evenetual lymph node metastasis, the presence of tumoral recidive and the orientation to a imagistic diagnosis which will be confirmated by a patological exam. The multidisciplinary approach of these lesions will permit a proper terapeutical management to each case.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Carcinoma, Squamous Cell / diagnosis*
  • Carcinoma, Squamous Cell / diagnostic imaging
  • Carcinoma, Squamous Cell / pathology
  • Child
  • Child, Preschool
  • Facial Injuries / diagnostic imaging
  • Facial Injuries / pathology
  • Female
  • Head and Neck Neoplasms / diagnosis
  • Humans
  • Incidental Findings
  • Lymphatic Metastasis
  • Male
  • Middle Aged
  • Nasopharyngeal Neoplasms / diagnosis*
  • Nasopharyngeal Neoplasms / diagnostic imaging
  • Nasopharyngeal Neoplasms / pathology
  • Parotid Neoplasms / diagnosis*
  • Parotid Neoplasms / diagnostic imaging
  • Parotid Neoplasms / pathology
  • Predictive Value of Tests
  • Radiographic Image Enhancement / methods
  • Retrospective Studies
  • Severity of Illness Index
  • Skull Base Neoplasms / diagnosis
  • Tomography, X-Ray Computed*