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Pleomorphic adenomas originating from the minor salivary glands are rare in the parapharyngeal space, although they are the most common benign tumors in this area followed by paragangliomas, and the most common benign salivary gland tumors. In this paper we are reviewing a case of parapharyngeal heterotopic pleomorphic adenoma in a 58 years old female where biopsy for pathologic verification was taken using nasal endoscopy through the nasopharynx reaching the tumor in the parapharyngeal space. This technique is presenting a new tool that can be used for pathologic verification. Total surgical resection is, till today, the preferred treatment for pleomorphic adenomas.

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