A CHILD WITH EPISTAXIS, REDUCED HEARING AND CERVICAL LYMPHADENOPATHY: A RARE CASE OF NASOPHARYNGEAL CARCINOMA IN A CHILD
- Author:
S Muhammad Izani
;
M Irfan
;
Y Suhaimi
- Publication Type:Case Reports
- Keywords:
Nasopharyngeal carcinoma, children, differential diagnosis, management
- From:Malaysian Family Physician
2011;6(2&3):82-84
- CountryMalaysia
- Language:English
-
Abstract:
Although nasopharyngeal carcinoma (NPC) is common in this part of the world, the incidence among children is still very low
worldwide. The diagnosis is sometimes delayed because of the late reporting of the symptom by the patient or parents, or difficulty
in reaching the final diagnosis due to its hidden anatomical location. The challenges include the difficult endoscopy in children,
inability to differentiate an adenoid from the tumour on radiograph and often the inconclusive fine needle aspiration findings. If the
tumour mass at Fossa of Rosenmuller can be clearly appreciated and biopsied with undoubtedly proven histology of NPC, the
diagnosis can be straight forward and treatment can be commenced as early as possible. We report a 10-year-old child presented
with bilateral neck cervical lymphadenopathy and epistaxis with fine needle aspiration cytology (FNAC) of the neck mass reported
as lymphoma. Further work-up confirmed he was suffering from NPC.
- Full text:W020151007414634490746.pdf
