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  1. Aishah Harizah AA, Salman A, Khairudin A, Fairuz M I, Mohd Sayuti R, Nor Kamarruzaman E
    MyJurnal
    Parapharyngealspace tumor has been known to be uncommon. It accounts only about 0.5% of head and neck neoplasm.Most of the lesions are benign in nature and salivary gland neoplasm being the most common.A 32-year old Ma lay gentle man presented with long-standing parapharyngeal mass which m ialized the latera l pharyngeal wa ll. Biopsy was taken intraorally by soft pa late mucosal incisionrevealed carcino ma e x-p leo morphic adeno maand t ranscervical approach successfully re moved the mass in total. Post-operative radiotherapy was commenced and patient is we ll until recent fo llo w up.Despite of the rarity of pleomorphic adenoma in parapharyngeal space, it should be a mong the differential diagnosis and a complete removal should be the aim as ma lignant transformation is possible in this type of pathology. Computed tomographyscan e xtending fro m base of skull till upper thora x a re important in p lanning the approach for complete removal of the mass followed by radiotherapy in malignant transformation cases.
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