Question: A 42 year old male is evaluated for progressive otalgia, dysphagia, and neck fullness. The patient has a history of NF1. Imaging reveals a multispatial enhancing mass involving the parapharyngeal space extending inferiorly to the thyroid gland with extensions into various parts of the neck. He has no cranial neuropathies. What is the most likely histopathology of the lesion?

a) Schwannoma

b) Malignant nerve sheath tumor

c) Rhabdomyosarcoma

d) Plexiform neurofibroma

[Answer will be posted with next week's new question]

Answer to last week's question, “It Keeps Coming Back” (December 22, 2022)

C - Subtotal petrosectomy with EAC closure.