Parapharyngeal Acinic Cell Carcinoma: Initially Managed as a Case of Peritonsillar Abscess

Abstract

We are highlighting an unusual presentation of parapharyngeal acinic cell carcinoma. The patient presented with jaw pain, trismus and a peritonsillar bulge diagnosed as peritonsillar abscess. Medical management was initiated but failed. Magnetic resonance imaging (MRI) was done which revealed abscess formation. Incision and drainage was performed without resolution. Further evaluation led to the diagnosis and surgical management of parapharyngeal acinic cell carcinoma.