From suspicion to surprise: a case of soft palate bulge diagnosed as parapharyngeal space pleomorphic adenoma

Autores

  • Deepalakshmi Tanthry A J Institute of Medical Sciences and Research Centre, Mangalore, India
  • Ankitha M. A J Institute of Medical Sciences and Research Centre, Mangalore, India
  • V. Akarsh Hegde A J Institute of Medical Sciences and Research Centre, Mangalore, India https://orcid.org/0009-0004-4920-8723
  • M. Sapna A J Institute of Medical Sciences and Research Centre, Mangalore, India https://orcid.org/0009-0005-2709-8436
  • Anaghaa Bhat Nagri A J Institute of Medical Sciences and Research Centre, Mangalore, India

DOI:

https://doi.org/10.34631/sporl.3165

Palavras-chave:

Parapharyngeal space tumors, pleomorphic adenoma, transoral excision, salivary gland tumor, soft palate swelling, benign neoplasm

Resumo

Introduction: Parapharyngeal space (PPS) tumors are rare and often present diagnostic challenges due to their deep anatomical location and nonspecific symptoms. Pleomorphic adenomas in this region are very rare, and when unrelated to the parotid gland, they can mimic malignancies.
Case Presentation: A 51-year-old male presented with a 9-month history of progressive right-sided soft palate swelling, dysphagia, and hot potato voice. MRI revealed a solid-cystic mass in the prestyloid PPS, radiologically suspicious for malignancy and separate from the parotid gland. The lesion was excised via transoral endoscopic approach. Histopathology confirmed pleomorphic adenoma. Recovery was uneventful, with no recurrence on follow-up.
Conclusion: Pleomorphic adenomas of the PPS can mimic malignancy clinically and radiologically. Complete surgical excision via a transoral endoscopic approach can be safe and effective in selected patients. Histopathological confirmation is essential to guide management.

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Referências

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Publicado

10-06-2026

Como Citar

Tanthry, D., Ankitha M., Akarsh Hegde, V., Sapna, M., & Bhat Nagri, A. (2026). From suspicion to surprise: a case of soft palate bulge diagnosed as parapharyngeal space pleomorphic adenoma. Revista Portuguesa De Otorrinolaringologia-Cirurgia De Cabeça E Pescoço, 64(2), 229–232. https://doi.org/10.34631/sporl.3165

Edição

Vol. 64 N.º 2 (2026): Junho

Secção

Caso Clínico

Licença

Direitos de Autor (c) 2026 Deepalakshmi Tanthry, Ankitha M., V. Akarsh Hegde, M. Sapna, Anaghaa Bhat Nagri

Creative Commons License

Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-CompartilhaIgual 4.0.