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Updated: May 13, 2026

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Robotic Enucleation of Esophageal Leiomyoma
Published on: February 20, 2026
[A case report of pharynx leiomyosarcoma]
1chenyu258@tom.com
Summary
A persistent pharyngeal foreign body sensation was diagnosed as a parapharyngeal leiomyosarcoma. This rare pharyngeal tumor required advanced imaging for diagnosis and impacted speech.
Area of Science:
- Otolaryngology
- Oncology
- Radiology
Background:
- A patient presented with a two-month history of pharyngeal foreign body sensation and left pharyngeal palate elevation.
- Initial treatment for pharyngitis was unsuccessful, and symptoms recently worsened, affecting speech.
Observation:
- A 4 cm x 5 cm firm, immobile bulge was noted in the left soft palate and tonsillar area with intact mucosa and slight hyperemia.
- Physical examination revealed left tonsil swelling, uvular deviation to the right, and impaired soft palate movement.
Findings:
- Computed Tomography (CT) revealed a soft tissue mass measuring approximately 3.4 cm x 5.4 cm in the left parapharyngeal space.
- Histopathological diagnosis confirmed the mass as leiomyosarcoma of the pharynx.
Implications:
- This case highlights the importance of thorough investigation for persistent pharyngeal symptoms, even in the absence of typical signs like dysphagia or odynophagia.
- Early and accurate diagnosis of rare pharyngeal tumors like leiomyosarcoma is crucial for effective management and improved patient outcomes.
- Parapharyngeal space tumors can present insidiously, emphasizing the role of advanced imaging in diagnosis.