November 1, 2012 | Enrique Palacios, MD, FACR; Michael Ellis, MD; Harold Neitzschman, MD, FACR
Resection is generally not indicated for small, asymptomatic pharyngeal cysts. Symptomatic cysts, on the other hand, can be treated with aspiration or a complete transoral resection, particularly if the lesion is large.
October 4, 2012 | Brandon Pierson, MD; Rosser Powitzky, MD; G. Paul Digoy, MD, FAAP
We present 2 cases of advanced juvenile nasopharyngeal angiofibroma (JNA) to illustrate the advantages of endoscopic Coblation-assisted resection of intranasal extensions of these masses. Both patients—an 11-year-old boy and a 14-year-old boy—presented with...
September 7, 2012 | Aayesha M. Khan, MD; Paula J. Chor, MD; John F. Eisenbeis, MD
Adult extracardiac rhabdomyoma (ER) is a rare, slowly growing, benign tumor of skeletal-muscle origin that has a strong predilection for the head and neck. Complete surgical resection has been proposed as the treatment of choice. We describe a case of adult...
July 5, 2012 | Evelyne S. Diom, MBChB; Raymond Diouf, MBChB; El Hadji Malick Diop, MBChB
Foreign bodies lodged in the nasopharynx are rare. We report a case of an unusual foreign body in the nasopharynx: a hooked iron rod. The patient was a 5-year-old girl. The foreign body had to be removed under general anesthesia. To the best of our knowledge...
Diffuse large B-cell lymphoma accounts for more than 50% of all Waldeyer ring lymphomas, which in turn account for about 15% of all head and neck lymphomas and about 50% of all extranodal head and neck lymphomas.
June 14, 2011 | William B. Horton, BS, David A. Joyner, MD, William P. Daley, MD, Karen T. Pitman, MD, and Majid A. Khan, MD
Dendritic cell sarcoma, not otherwise specified (NOS), is an entity that is poorly defined because of its rarity and poorly understood pathogenesis. It is characterized by positive immunohistochemical staining for S-100 and CD1a, along with an absence of cytoplasmic Birbeck...
June 14, 2011 | Fatih Çelenk, MD, Metin Yilmaz, MD, Korhan Asal, MD, Özgür Ekinci, MD, and Nil Tokgöz, MD
Primary nasopharyngeal Kaposi sarcoma is extremely rare, as only 1 case has been previously reported in the literature. We report a new case, which occurred in a 37-year-old man with a known history of acquired immune deficiency syndrome (AIDS). The patient presented with...
August 1, 2010 | Simon K.W. Lloyd, BSc(Hons), MPhil, FRCS(ORL-HNS), Riccardo A. Di Cuffa, DOHNS, MRCS, MRCGP, Felicity K. Seymour, MA, DOHNS, FRCS(ORL-HNS), Lloyd E. Savy, BSc(Hons), FRCR, and Henry R. Grant, FRCS
Cystic lesions of the nasopharynx are rare. Two cases of mucous retention cysts originating from the fossa of Rosenmüller are described, together with their characteristic radiologic appearance, which allows differentiation from other types of lesions in this region. The...
July 1, 2010 | S.C. Gupta, MS, Jain Sachin, MS, Saxena Savyasachi, MS, Jaiswal Ritesh, MBBS, Garg Neha, MBBS, and Himanshu P. Singh, MBBS
Benign schwannomas of the nasal cavity are rare. When they do occur, their clinical presentation is variable, and some are fairly vascular. We report the case of a 17-year-old boy who presented with epistaxis associated with a unilateral nasal mass that extended into the...
May 1, 2010 | Eugene A. Chu, MD, William H. Westra, MD, Nafi Aygun, MD, and Nasir I. Bhatti, MD
We present what to the best of our knowledge is only the fourth case of a primary nasopharyngeal paraganglioma to be reported in the literature, and we describe a novel surgical approach to its removal. The patient was a 53-year-old woman who presented with a nasopharyngeal...
January 1, 2010 | Federico Ampil, MD, Guillermo Sangster, MD, Glenn Mills, MD, Cherie Ann Nathan, MD, Timothy Lian, MD, and Andrew Hall, BS
Nonoperative management is generally accepted as a treatment strategy for nasopharyngeal cancer characterized by destruction of the skull base. Chemoradiotherapy is considered the standard of care in these cases. We report a case in which imaging studies documented the...