Rare Tumours and Tumour-like Lesions of Pharynx That Cause Dysphagia

Objective: The aim of this article is to discuss rarely encountered tumours and tumorous masses at the different levels of pharynx that were diagnosed in patients admitted to our hospital with the complaint of dysphagia. Methods: Twenty-one cases with masses causing dysphagia at the oropharyngeal, hypo-pharyngeal and laryngeal levels were identified among patients admitted to our hospital with the complaint of difficulty with swallowing between the years 2009 and 2011. Detailed anamneses and physical examinations were performed. In addition, for the purpose of diagnosis, the following were applied: Magnetic Resonance Imaging with and without contrast, Computerized Tomography, Three-Dimensional Computerized Tomography, Multiple row-Detector Computerized Tomography, MR Angiography and 99m Tc Scintigraphy. Results: Twenty-one patients, 12 women (57.1%) and 9 men (42.9%), were included in the study. Their mean age was 49.23 +/- 32.71 years old (min. 15-max. 80). There was partial obstruction at the oropharyngeal level in 11 cases; there was partial obstruction at the laryngeal and hypopharyngeal level in the other 10 cases. Conclusion: A detailed history and examination along with endoscopic, radiological and laboratory evaluations are important for early diagnosis and management of rare tumours and tumour-like lesions of the oropharynx and neck causing dysphagia.