In this article, we describe a case of ganglioneuroma observed in a 27-year
-old woman. The tumor was found in an unusual location, the parapharyngeal
space. The lesion was asymptomatic and was surgically excised after a fine-
needle aspiration biopsy that was considered inadequate. The lesion measure
d 4 x 3 cm and was capsulated. Two distinct cells groups were identified: g
anglion cells and Schwann cells placed in a loose myxoid stroma. Immunohist
ochemical stains (performed with the following monoclonal antibodies: high-
molecular-weight cytokeratins, vimentin, neuron-specific enolase, neurofila
ments, and S100) confirmed the diagnosis of ganglioneuroma. The pathologic
findings and a review of recent literature are discussed.