Nasopharyngeal carcinoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

right sided tinnitus and hearing impairment

Patient Data

Age: 60 years
Gender: Male
Modality: MRI

Right sided nasopharyngeal carcinoma obliterating fossa of Rosenmuller, infiltrating skull base and pterygoid muscle and abutting the inferior surface of right temporal lobe laterally and inferior aspect of sphenoid sinus medially.

Right mastoiditis.

C5 sclerotic lesion at the anterior body.

Case Discussion

The most common cause of otitis media and mastoiditis in elderly > 50 years is nasopharyngeal carcinoma.

It arises from fossa of Rosen Muller and obliterates the eustachian tube.

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Case Information

rID: 22375
Case created: 28th Mar 2013
Last edited: 20th Feb 2016
Inclusion in quiz mode: Included

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