Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Diagnostic and management challenge of concurrent tongue squamous cell carcinoma with an unknown parapharyngeal mass

  • Raymond Shupak (Department of Oral and Maxillofacial Surgery, Geisinger Health System) ;
  • Roderick Kim (Division of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network) ;
  • Jun Hyuk Huh (Division of Oral and Maxillofacial Surgery, New York-Presbyterian Columbia Irving Medical Center)
  • Received : 2023.08.23
  • Accepted : 2023.09.23
  • Published : 2024.02.29
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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.

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References

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