title: [A giant lipoma of parapharyngeal space in a child].
abstract: BACKGROUND
  Tumors of the parapharyngeal space are rare and composing a wide variety of histological types. The aim of this study was to report a case of giant parapharyngeal lipoma in a child and to present clinical, paraclinical, and treatment aspects.
  
  
  METHODS
  A 14-year-old child presented with a painless progressive mass on the right side of the upper neck. It was growing asymptomatically since 2 years. Cervical CT-scan and MR showed a low-density mass in the right parapharyngeal, consistent with a mass of adipose tissue origin. The mass was surgically removed via cervical-parotid approach. The fatty mass was completely excised. Histopathology confirmed it to be a lipoma. The patient has been followed up for three years, and there have been no signs of recurrence.
  
  
  CONCLUSIONS
  Diagnostic orientation in parapharyngeals tumors is necessary for better care. This guidance is being facilitated through imaging advances. Their surgical approaches and complete excision depend on volumes, localizations and their proximity to neurovascular structures.
authors.affiliation: CHU Mohammed VI, Service d'ORL, Rue Abdelouahab Derraq, 40000 Marrakech, Maroc. elfakirimehdi@yahoo.fr
authors.forename: M M
authors.initials: MM
authors.lastname: El Fakiri
authors.forename: Y
authors.initials: Y
authors.lastname: Rochdi
authors.forename: H
authors.initials: H
authors.lastname: Nouri
authors.forename: R
authors.initials: R
authors.lastname: Hassani
authors.forename: L
authors.initials: L
authors.lastname: Aderdour
authors.forename: A
authors.initials: A
authors.lastname: Raji
mesh_terms: D000293:Adolescent; D006801:Humans; D008067:Lipoma / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D010610:Pharyngeal Neoplasms / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed