Benign chondroma affecting the soft tissues is uncommon. This tumour i
s particularly rare in the neck. We present the first case of soft tis
sue chondroma arising in the parapharyngeal space of a 20-year-old man
with a two-year history of a gradual sensation of a swelling in the p
harynx with increasing snaring, The CT and pathological features of th
is lesion will be discussed. We suggest that a peroral approach should
be considered for benign parapharyngeal tumour which has been demonst
rated on imaging to be in the anterior parapharyngeal space, especiall
y for tumours that are medial to the pterygoid muscles even though the
tumour is a large one.