Nasopharyngeal carcinoma (recurrent)

Case contributed by A.Prof Frank Gaillard

Presentation

Nasopharyngeal carcinoma treated with radiotherapy 10 years earlier with complete remission. Represented with nasal stuffiness.

Patient Data

Age: 40 years
Gender: Female

CT sinuses

Modality: CT

Large mass in centered in the sphenoid sinus with bony destruction is present. The mass can be faintly seen to erode through the clivus and into the pituitary fossa. 

Case Discussion

This patient went on to have a biopsy of the left nasal cavity mass. 

FINDINGS: Undifferentiated carcinoma.  The biopsy shows an undifferentiated carcinoma associated with an extensive plasmacytic infiltrate. The morphology of the tumor is consistent with the recurrence of nasopharyngeal carcinoma. Tumors with this morphology may also occur as a primary in the nasal cavity. Correlation with the clinical findings is recommended.

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Case Information

rID: 5061
Case created: 27th Nov 2008
Last edited: 7th Dec 2015
System: Head & Neck
Tag: npc
Inclusion in quiz mode: Included

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