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Malays J Pathol ; 42(2): 287-291, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32860384

ABSTRACT

INTRODUCTION: Lymphoma of parapharyngeal space (PPS) is a rare condition. The clinical presentations may vary and often masquerades as infection or an inflammatory condition. A misdiagnosis will lead to a delay in treatment of the disease. Due to the complex anatomy of PPS, any attributed pressure from masses can lead to a life-threatening event such as cardiac syncope. CASE REPORT: We report a rare case of PPS B-cell non-Hodgkin lymphoma with superimposed Tuberculosis (TB) and fungal infection that presents with several episodes of syncope and hemodynamic depression. DISCUSSION: The clinical entities in PPS lesions syncope and its associated syndromes, pathophysiology, and differential diagnosis together with possible managements are further discussed.


Subject(s)
Lymphoma, Non-Hodgkin , Syncope, Vasovagal , Abscess , Diagnosis, Differential , Head and Neck Neoplasms/complications , Head and Neck Neoplasms/diagnosis , Head and Neck Neoplasms/pathology , Humans , Lymphoma, Non-Hodgkin/complications , Lymphoma, Non-Hodgkin/diagnosis , Lymphoma, Non-Hodgkin/pathology , Male , Middle Aged , Mycoses , Parapharyngeal Space/pathology , Syncope, Vasovagal/etiology , Syncope, Vasovagal/physiopathology , Syncope, Vasovagal/therapy , Tuberculosis
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