Contrast-enhanced computed tomography (CECT) of the base of skull and nasopharynx
showed contrast-enhancing heterogeneous mass lesion involving the left nasopharynx
, sphenoid sinus, and base of skull [Figure 3], without any significant cervical lymphadenopathy.
The airway measurements were horizontally divided into three: nasopharynx
, oropharynx, and hypopharynx (Arnett-Gunson FAB Surgery Analysis) (7).
To our knowledge, no more than five cases of nasopharyngeal MCL have been reported in the English literature, and none of the cases reported relapse to involve the nasopharynx
The mass appeared to originate from the nasopharynx
, and its inferior aspect was at the level of the epiglottis.
To the Editor: Submucosal nasopharyngeal carcinoma (NPC) is very uncommon, comprising only 8.8% of all tumors in the nasopharynx
. However, given difficulties in tissue sampling, the pathological diagnosis of a submucosal growth pattern in NPC is not easy to obtain.
They are: lung, trachea and bronchus, female breast, colorectal, nasopharynx
, prostate, brain and nervous systems, stomach, liver, cervix uteri, ovary, corpus uteri, thyroid, pancreas, leukaemia and lymphoma.
During normal breathing through the nose, air passes through the nose and nasopharynx
. Airflow through the nose is not as free as it is through the mouth due to the narrowness of the nasal cavities and presence of the three turbinates projecting into the nasal cavity.
Other causes like fibroangioma, bleeding polypus, pyogenic granuloma, DNS with spur, rhinosinusitis, granulomatous diseases like rhinosporidiosis, Wegener's granulomatosis, tumours like juvenile nasopharyngeal angiofibroma, esthesioblastoma, carcinoma of nose, paranasal sinuses and nasopharynx
. Systemic diseases like hypertension, liver and kidney disorders and blood dyscrasias can also produce epistaxis.
Solitary polyps that originate in the paranasal sinuses or adjacent structures and extend to the nasopharynx
are called choanal polyps.
Juvenile nasopharyngeal angiofibroma is a benign tumour originating in the nasopharynx
, presenting in adolescent males with nasal mass, epistaxis, nasal obstruction, cheek swelling, and proptosis.
However, the nasopharynx
is a rare lodgment site for foreign bodies and hardly receives a passing mention even in standard comprehensive textbooks .
Maxillofacial computed tomography (CT) without and with contrast showed a well-defined, pedunculated, avidly enhancing mass that arose from the posterior nasal septum and projected into the nasopharynx