Title:
Nasopharyngeal thyroid-like low-grade papillary adenocarcinoma
Authors:
D. Borsetto , D. Cazzador , V. Prosenikliev , A. Zanon , T. Volo , F. Marino and E. Emanuelli
Institutions:
Department of Neuroscience, Operative Unit of Otorhinolaryngology, University of Padua, Via Giustiniani, 2, 35125, Padua, Italy, Department of Pathology, University of Padua, via Giustiniani 2, 35125, Padua, Italy
Keywords:
Papillary adenocarcinoma; nasopharynx; endoscopic endonasal surgery; nasopharyngeal adenocarcinoma; epistaxis
Pages:
235 - 240
Abstract:
Objective: Epistaxis is extremely common in children. Although rare, the presence of an intranasal mass as a cause of bleeding should be ruled out in patients with recurrent or massive epistaxis. We present a patient whose recurrent nose-bleeding had been due to a nasopharyngeal mass. Methods: Case report with relevant literature review. Results:A15-year-old girl with a history of sudden posterior nasal bleeding was diagnosed with thyroid-like low-grade nasopharyngeal papillary adenocarcinoma of the nasopharynx. A type II nasopharyngeal endoscopic resection was performed with an excellent outcome at 30-months follow-up. The literature review on the topic disclosed only five other paediatric cases, none of which presented with epistaxis. Conclusions: Recurrent epistaxis may infer the presence of nasopharyngeal malign neoplasms, even in children.To our knowledge, this represents the sixth case in the literature of a paediatric low-grade nasopharyngeal adenocarcinoma and the first presenting with massive epistaxis. The possibility of such a finding should be kept in mind when evaluating children with massive epistaxis.
Issue:
Vol. 12, 2016, 3rd trimester


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Nasopharyngeal thyroid-like low-grade papillary adenocarcinoma