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Surgical excision is the primary treatment for carotid body tumors (CBT) and infrequently involves carotid vessels reconstruction. A CBT that extends distally to the level of the skull base makes surgical reconstruction very challenging. We report a case of a 30-year-old man who presented with a CBT (Shamblin III) extending to the base of the skull. A covered stent graft was placed in the internal carotid artery. Subsequently, a successful resection of the tumor with the arterial wall en bloc was performed, leaving the stent graft exposed as a bridge between the two ends of ICA.

This case report describes a mycotic pseudoaneurysm in an 18-year-old male with no past medical history that presented with progressive sore throat and neck pain. He was initially suspected of having a simple deep neck space infection. However, computed tomography scan and angiography showed a 7-mm mycotic pseudoaneurysm in the distal right internal carotid artery. Given the risk for acute progression, an endovascular covered stent was placed emergently. Mycotic pseudoaneurysms are uncommon in the pediatric population and can complicate abscess management. A team-based approach is essential for successful treatment.

Mucous membrane plasmacytosis (MMP) is an uncommon variant of mucositis represented by a polyclonal plasma cell infiltration of mucosal tissue. Various clinical presentations in the upper airway have been reported ranging from erythematous mucosa to fungating masses. Histologic features include mucosal epithelial hyperplasia or psoriasiform changes with a dense submucosal infiltrate of polytypic plasma cells. Molecular studies for immunoglobulin gene rearrangement should be performed in all cases of MMP to rule out clonal neoplastic expansion of plasma cells. We present a case of MMP with over 15 years of clinical follow-up, emphasizing the relatively benign clinical course of this disorder.