Nasopharyngeal carcinoma infiltrating the clivus

Case contributed by Dr Ahmed Abd Rabou

Presentation

Left ear pain, tennitus and vertigo of 2 weeks duration.

Patient Data

Age: 50 years old
Gender: Male

A large soft tissue mass is seen centered on and obliterating the left fossa of Rosenmuller. The mass extends anteriorly into the posterior nares, superiorly invades the clivus and laterally invades the pterygoids. The mass is hypointense in T1, iso intense in T2 and enhances intensely after contrast.

Associated mild left ocular proptosis, ethmoidal and maxillary sinusitis as well as left middle ear effusion and mastoiditis are seen.

Case Discussion

Otitis media in elderly people should raise the suspicion of nasopharyngeal carcinoma. Local extension, perineural and nodal spread are recognized features.

The Fossa of Rosenmuller is the commonest site of nasopharyngeal carcinoma.

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Case Information

rID: 25229
Case created: 14th Oct 2013
Last edited: 11th Dec 2015
System: Head & Neck
Inclusion in quiz mode: Included

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