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:: Volume 4, Number 1 (Spring-2016 2016) ::
Hakim Jorjani J 2016, 4(1): 81-88 Back to browse issues page
An unusual manifestation of nasopharyngeal tumor: A case report
Dr Mohammad Hossein Taziki , Mohammad Mehdi Taziki
Associate Professor Department of Ear Nose and Throat, Golestan University of Medical Sciences, Gorgan, Iran , Dr.taziki@goums.ac.ir
Abstract:   (1049 Views)

Background & Objective: Nasopharynx could be affected by many tumors types such as carcinoma and lymphoma. These tumors present specific manifestations and symptoms. In rare cases these tumors can present unusual symptoms and without careful attention could be missed. In the present article we have described a rare case of nasopharyngeal tumor which a mass in cheeks.

Case presentation: A 72 year-old female who presented inflammation and a mass in left cheek, nasal obstruction in right nose was referred to CTS department and coronal view of paransal sinus was performed. Because sinuses were intact, patient was treated with antibiotic and antiallergic drugs. In spite of medical therapies, cheek mass growth continued and CTS was repeated in coronal and axial view. In these images, a mass in left Nasopharynx and a polypoid mass in right nasal cavity were found. Patient was undergone endoscopic surgery and biopsies were done from those sites .Pathologist reported a nasal polyp in right nose and an undifferentiated carcinoma of left Nasopharynx and cheek. Immunohistochemistry investigation for differentiated tumor from lymphoma was done and confirmed the lymphoma. Patient was refereed to oncologist for further treatment.

Conclusion: In management of patient we should consider unusual presentation of nasopharyngeal lymphoma with cheek mass which is an unusual presentation of this tumor.

Keywords: Lymphoma, Nasopharyngeal carcinoma, Clinical presentation
Full-Text [PDF 490 kb]   (460 Downloads)    
Type of Study: Case Report | Subject: General
Received: 2016/08/13 | Accepted: 2016/08/13 | Published: 2016/08/13
References
1. Dickson, R. 1.: Nasopharyngeal carcinoma: an evaluation of 209 patients. Laryngoscope 91:333—354, 1981.
2. Neel, H. B.. III. Pearson, G.. R.. Weiland, L. H., et al.: Application of Epstein-Barr virus serology to the diagnosis and staging of North American patients with nasopharyngeal carcinoma. Otolaryngol. Head Neck Surg. 91:255—262, 1983.
3. Prasad, U.: Fossa of Rosenmuller and nasopharyngeal carcinoma. Med. J. Malaysia 33:222—225, 1979.
4. Scanlon, P. W.. Rhodes, R. E., Jr., Woolner, L. B., et al.: Cancer of the nasopharynx: 142 patients treated in the 11 year period 1950—1960. Am. J. Roentgenol. 99:313—325, 1967.
5. Neel. H. B., 111, and Taylor. W. F.: Clinical presentation and diagnosis of nasopharyngeal carcinoma: current status. In Prasad, U., Ablashi, D. V.. Levine, P. H., et al. (eds.): Nasopharvngeal Carcinoma: Current Concepts. Kuala Lumpur, University of Malaya Press, 1983, pp. 1—10.
6. Ablashi, D. V.. Levine, P. H.. Prasad, U.. and Pearson. G. R.: Fourth international symposium of nasopharyngeal carcinoma, Application of field and laboratory studies to the control of NPC. Cancer Res. 43:2375—2378, 1983.
7. Hara, H. J.: Cancer of the nasopharynx. Review of the literature. Report of 72 cases. Laryngoscope 79:1315—1329. 1969.
8. weiland. L. H.: Pathology of pharyngeal tumors. In Thawley. S. E.. Panje. W. R.. Batsakis, J. G.. and Lindberg. R. D. (eds.): Comprehensive Management of Head and Neck Tumors. Vol. 1. Philadelphia, W. B. Saunders Company, 1987, pp. 630—648.
9. Neel, H. B., Ill: Nasopharyngeal carcinoma. Clinical presenta tion, diagnosis, treatment, and prognosis. Otolaryngol. Clin. - North Am, 18:479—490, 1985.
10. Brugere, J., Schlieng, M., Gerard-Marchant, R., et al.: Non-Hodgkin malignant lymphomata of the upper digestive and res-piratory tracts: Natural history and result of radiotherapy. Br. J.Cancer 31:435-440, 1975.
11. Mill, W.. Lee, F. A. and Kaarle, 0. F.: Radiation therapy treat-ment stage I and II, extranodal non-Hodgkin lymphoma of the-bead and neck. Cancer 45:653—661, 1980.
12. Plantenga, K.. Hart, G., VanHeerde, P., et al.: Non-Hodgkin malignant lymphomas of upper digestive and respiratory tract. Int.J. Radiat. Oncol. Biol. Phys. 7:1419—1427, 1981.
13. Jacobs lacobs, C., and Hoppe, R.: Non-Hodgkin lymphomas of the head and neck extranodal sites. Int. J. Rdiat. Oncol. Biol. Phys. - 11:357—364. 1985.
14. colaco RJ, Betts G, Donne A, Swindell R, Yap BK, Sykes AJ, Slevin NJ, Home JJ, Lee LW. Nasopharyngeal Carcinoma- A Retrospective Review of Demographics, Treatment and Patient Outcome in a Single Centre. Clin Oncol (R Coll Radiol). 2013 jan 18. Pii: S0936-6555(12)00337-8. Doi: 1016/j.clon.2012. 10.006. (Epub ahead of print)
15. Fierstein, .J., and Thawley, S.: Otolaryngologic manifestations of acute leukemia and lymphoma. South. Med. J. 71:277—- 280, 1978.
16. Fierstein,J.,and Thaw1ey.S.:Lymphomas of thehead and neck.Laryngoscope 88:582—593, 1978,
17. Saleh-Ebrahimi L, Zwicker F, Muenter MW, Bischof M, lindel K, Debus J, Huber PE, Roeder F. Intensity modulated radiotherapy (IMRT) combined with concurrent but not adjuvant chemotherapy in primary nasopharyngeal cancer – a retrospective single center analysis. Radiat Oncol. 2013 Jan 24;8(1):20. (Epub ahead of print)
18. Besada E. Hunter M. Blttner B.1(An uncommon presentation of orbital apex syndrome Optometry 2007 jul. 78(7) : 339_43
19. Shambhu S. vose M”High grade LymphomaIn the nasopharynx Presented as sudden onset of bilateral blindness”BMC ophthalmol 2004 mar 16,4,2
20. Chong V.F . Fan yE. " Facial LymphadenopathyIn nasopharongeal carcinoma" Clin Radiol.2000 May. 45 (5) : 363 – 7
21. Majumder A. Devi ltp. Singh Tj. "unusal Clinical presentation OF nasopharyngeal carcinomaRedport OF 3 cases " j. Indian med Assoc 2008 jan . 106 (1) . 46 , 48 , 52
22. Thong JF, Mok P, Loke D.Recurrent nasopharyngeal carcinoma masquerading as acoustic neuroma.Singapore Med J. 2012 MAR;53(3): E60-2.
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Taziki M H, Taziki M M. An unusual manifestation of nasopharyngeal tumor: A case report. Hakim Jorjani J. 2016; 4 (1) :81-88
URL: http://goums.ac.ir/jorjanijournal/article-1-443-en.html
Volume 4, Number 1 (Spring-2016 2016) Back to browse issues page
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