ABSTRACT The Patient is a 58 years old woman who admitted in Hazrat-Rasoul Akram Hospital because of enlargement of anterior of neck and signs of upper respiratory tract obstruction. By X-Ray, sonography and C-T scanning, a mass in pararetropharyngeal region (4.5×10 cm) was detected. After FNA and biopsy, plasmacytoma was suggested which confirmed by immunohistochemical staining. This uncommon case should be controlled and even cured by proper diagnosis and radiotherapy.

Keywords: 1) Extramedullary plasmacytoma 2) Head and neck tumor 3) Upper respiratory tract obstruction

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