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Diagnostic and management challenge of concurrent tongue squamous cell carcinoma with an unknown parapharyngeal mass

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2024, v.50 no.1, pp.56-59
https://doi.org/10.5125/jkaoms.2024.50.1.56
Raymond Shupak (Department of Oral and Maxillofacial Surgery, Geisinger Health System, Danville, PA)
Roderick Kim (Division of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, TX)
Jun Hyuk Huh (Division of Oral and Maxillofacial Surgery, New York-Presbyterian Columbia Irving Medical Center, New York, NY)

Abstract

There are very few case reports of the diagnosis and management of concurrent oral cavity and parapharyngeal space tumors. We present a case involving a 49-year-old female who presented with oral cavity squamous cell carcinoma confirmed by biopsy. Initial diagnostic workup revealed a concurrent parapharyngeal mass. Diagnostic studies and surgical therapy were tailored to account for both pathological entities. The patient was treated with a combination of surgery and adjuvant therapy. The surgical strategy was designed to address both lesions simultaneously. One year post-surgery, the patient had good response to therapy with no evidence of persistent or recurrent disease. This report discusses the outcome and treatment of a rare case of concurrent squamous cell carcinoma with a complicating parapharyngeal space tumor. It explores the diagnostic process, comprehensive workup, and the surgical management.

keywords
Parapharyngeal space, Squamous cell carcinoma, Head and neck neoplasms, Mass, Oral cancer

Journal of the Korean Association of Oral and Maxillofacial Surgeons