Nasopharyngeal thyroid-like low-grade papillary adenocarcinoma
D. Borsetto , D. Cazzador , V. Prosenikliev , A. Zanon , T. Volo , F. Marino and E. Emanuelli
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
Papillary adenocarcinoma; nasopharynx; endoscopic endonasal surgery; nasopharyngeal adenocarcinoma; epistaxis
235 - 240
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.
Vol. 12, 2016, 3rd trimester

Nasopharyngeal thyroid-like low-grade papillary adenocarcinoma