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Nasopharyngeal carcinoma presenting as carotidynia in an 18-year-old patient

Published online by Cambridge University Press:  10 April 2007

D Ellul ,
J Cutajar ,
H Borg xuereb  and
M Said
D Ellul*
Affiliation:
ENT Department, St. Luke's Hospital, Malta
J Cutajar
Affiliation:
ENT Department, St. Luke's Hospital, Malta
H Borg xuereb
Affiliation:
ENT Department, St. Luke's Hospital, Malta
M Said
Affiliation:
ENT Department, St. Luke's Hospital, Malta
*
Address for correspondence: Dr David Ellul, Department of Surgery, St. Luke's Hospital, Gwardamangia Hill, Gwardamangia, Malta. E-mail: davidellul@onvol.net
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Abstract

Introduction:

Nasopharyngeal carcinoma can present with a variety of symptoms the most common being painless cervical lymph node metastases, epistaxis and conductive hearing loss.

Case report:

We report a case of an 18-year-old male patient presenting to the ENT department with left sided carotidynia – severe pain in the neck radiating up to his ear. He had a small, exquisitely tender lump just below the bifurcation of the left common carotid artery. After the appropriate investigations he was diagnosed with nasopharyngeal carcinoma.

Discussion:

In a literature search on Medline and Pubmed we found no reported cases of nasopharyngeal carcinoma presenting with carotidynia, nor was carotidynia ever found to be associated with nasopharyngeal carcinoma.

Conclusion:

We believe that this is the first reported case of such a presentation of nasopharyngeal carcinoma.

Keywords

NasopharynxParapharyngeal NeoplasmsCarcinomaNeck Pain
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 2 , February 2008 , pp. 207 - 209
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Kamal, MF, Samarrai, SM. Presentation and epidemiology of nasopharyngeal carcinoma in Jordan. J Laryngol Otol 1999;113:422–6CrossRefGoogle ScholarPubMed
2 Skinner, DW, Van Hasselt, CA, Tsao, SY. Nasopharyngeal carcinoma: modes of presentation. Ann Otol Rhinol Laryngol 1991;100:544–51CrossRefGoogle ScholarPubMed
3 Pak, MW, Chan, KL, Van Hasselt, CA. Retropharyngeal abscess. A rare presentation of nasopharyngeal carcinoma. J Laryngol Otol 1999;113:70–2CrossRefGoogle ScholarPubMed
4 Grammatica, L, Achille, G, Piepoli, S, Paradiso, A. Early, late symptoms and histological type of nasopharyngeal carcinoma. Oncol Rep 1999;6:1395–8Google ScholarPubMed
5 Indudharan, R, Valuyeetham, KA, Kannan, T, Sidek, DS. Nasopharyngeal carcinoma: clinical trends. J Laryngol Otol 1997;111:724–9CrossRefGoogle ScholarPubMed
6 Skinner, DW, Van Hasselt, CA. Nasopharyngeal carcinoma. An analysis of 100 Chinese patients. S Afr J Surg 1990;28:92–4Google Scholar
7 Lim, LH, Goh, CH, Loong, SL, Khin, LW, Balakrishnan, A, Wee, J. Nasopharyngeal carcinoma in young patients. Int J Clin Pract 2003;57:871–4CrossRefGoogle ScholarPubMed
8 Vilar, P. Nasopharyngeal carcinoma. A report on 24 patients seen over 6 years. Scott Med J 1966;11:315–18CrossRefGoogle ScholarPubMed
9 Hill, LM, Hastings, G. Carotidynia: A pain syndrome. J Fam Pract 1994;39:71–5Google ScholarPubMed
10 Roseman, DM. Carotidynia. A distinct syndrome. Arch Otol 1967;85:81–4CrossRefGoogle ScholarPubMed
11 Chiossone, E, Quiroga, ME. Carotidynia. J Laryngol Otol 1973;87:885–90CrossRefGoogle ScholarPubMed
12 Mehigan, JT, Olcott, C 4th. Carotodynia associated with carotid arterial disease and stroke. Am J Surg 1981;142:210–11CrossRefGoogle Scholar
13 Kawashima, M, Koike, R, Nishio, J, Nanki, T, Kohsaka, H, Kubota, T et al. A case of Takayasu's arteritis with ulcerative colitis diagnosed by carotidynia and MRI finding [in Japanese]. Nihon Rinsho Meneki Gakkai Kaishi 1999;22: 317–23CrossRefGoogle Scholar
14 Arteaga, VA, Farber, A, Wagner, WH, Lauterbach, SR, Cossman, DV, Cohen, LJ et al. Septic embolisation to the carotid bifurcation presenting as carotidynia. Ann Vasc Surg 2003;17:152–5CrossRefGoogle Scholar