Solitary fibrous tumour of the parapharyngeal space – a case report

Authors

DOI:

https://doi.org/10.36303/SAJS.02498

Keywords:

solitary fibrous tumour, parapharyngeal space, transoral approach

Abstract

We present a case of a female patient with solitary fibrous tumour (SFT) originating in the parapharyngeal space which was successfully resected using an open transoral approach. The patient presented with a worsening airway obstruction, obstructive sleep apnoea, and dysphagia for three years. Rhinolaryngoscopy revealed a right nasopharynx and oropharynx lateral pharyngeal wall submucosal mass. Histopathological analysis was consistent with an SFT. This uncommon site of a rare tumour often presents diagnostic challenges or leads to overt misdiagnosis. We interrogated the literature in respect of the diagnostic and therapeutic approaches for this rare condition.

Author Biographies

H Melariri, Nelson Mandela University

School of Medicine, Nelson Mandela University and Department of Otorhinolaryngology, Port Elizabeth Provincial Hospital, South Africa

A Mukhtar, Nelson Mandela University

School of Medicine, Nelson Mandela University and Department of Otorhinolaryngology, Port Elizabeth Provincial Hospital, South Africa

S Labuschagne, Port Elizabeth Provincial Hospital

Department of Otorhinolaryngology, Port Elizabeth Provincial Hospital, South Africa

E Joseph, Port Elizabeth Provincial Hospital

Department of Otorhinolaryngology, Port Elizabeth Provincial Hospital, South Africa

N Siyeka, Livingstone Tertiary Hospital

Department of Radiology, Livingstone Tertiary Hospital, South Africa

Johan Opperman, University of the Western Cape

Department of Oral and Maxillofacial Pathology, National Health Laboratory Service and University of the Western Cape and Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa

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Published

2025-07-31

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Section

Case Report