Nasopharyngeal carcinoma in a young adolescent with unilatral palatal palsy and neck mass – A rare case report

Abstract

Less than 1% of all head and neck neoplasms are juvenile nasopharyngeal angiofibromas, a cancer almost exclusively found in adolescent males. Here we present a case report of 14 year old male presented with neck swelling, nasal discharge mixed with blood, right sided proptosis and right sided palatal palsy where we performed CECT scan of the patient which showed homogenous opacity over nasopharynx extending to soft palate and posteriorly to C1 vertebra and DNE was performed. Later patient was planned for DNE along with biopsy which came out to be undifferentiated non-keratinized squamous cell carcinoma grade III. Further patient received external beam intensity modulated radiation therapy with complete response to treatment.