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An unusual presentation of pleomorphic adenoma in a patient with thalassemia: A case report
Abdelrahman R Alsaleh1, Adham A Aljariri1, Baraa A Wazwaz2
1Otolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Abstract:
We report the first case of spontaneous infarction occurring in pleomorphic adenoma located in infratemporal fossa mimicking parapharyngeal abscess, including clinical presentation, workups, and surgical approach. The final diagnosis was confirmed on a histological basis. The combination of CT scan and MRI might be helpful in distinguishing neoplasia from abscess collection in this area. Surgical intervention is the treatment of choice.
Insights
This study details the first reported case of spontaneous infarction in an infratemporal fossa pleomorphic adenoma. Imaging like CT and MRI aids in differentiating it from a parapharyngeal abscess, with surgery being the recommended treatment.
Area of Science:
- Otorhinolaryngology
- Head and Neck Surgery
- Pathology
Background:
- Pleomorphic adenoma is a common salivary gland neoplasm.
- Infratemporal fossa tumors can present with complex symptoms.
- Spontaneous infarction in pleomorphic adenoma is rare.
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