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Seshu Gadiparthi, BS; Stephen Y. Lai, MD, PhD; Barton F. Branstetter IV, MD; Robert L. Ferris, MD, PhD
University of Pittsburgh Medical Center, Pittsburgh, Pa

Arch Otolaryngol Head Neck Surg. 2004;130:1121.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 41-year-old man with a 40 pack-year history of smoking and a 6-month history of dysphagia and left otalgia presented to the emergency department with worsened symptoms. Physical examination revealed the presence of mild left ptosis, and examination of the oral cavity indicated fullness beneath the left mandible and left soft palate. Flexible fiberoptic laryngoscopy confirmed a mass in the left parapharyngeal space, with impingement on the left oropharynx to the level of the hyoid bone. A fine-needle aspirate demonstrated atypical squamous cells.

Computed tomography of the neck demonstrated a cystic mass in the left parapharyngeal space, with only a thin rim of enhancement and no evidence of surrounding inflammation (Figure 1). Magnetic resonance imaging was used to further characterize the 4.4 x 2.9 x 6.5-cm homogeneous ovoid lesion (. . . [Full Text of this Article]

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