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Undifferentiated carcinoma of the nasopharynx and leukemoid reaction: report of case with literature review

Published online by Cambridge University Press:  29 June 2007

Sven Saussez ,
P. Heimann ,
Luc Vandevelde ,
Pierre Bisscnop ,
Albert Jortay ,
Liliane Schandene  and
Elie Cogan
Sven Saussez*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Hôpital Erasme, Free University of Brussels (U.L.B.), Brussels, Belgium.
P. Heimann
Affiliation:
Department of Pathology, Hôpital Brugmann, Free University of Brussels (U.L.B.), Brussels, Belgium.
Luc Vandevelde
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Hôpital Brugmann, Free University of Brussels (U.L.B.), Brussels, Belgium.
Pierre Bisscnop
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Hôpital Brugmann, Free University of Brussels (U.L.B.), Brussels, Belgium.
Albert Jortay
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Hôpital Brugmann, Free University of Brussels (U.L.B.), Brussels, Belgium.
Liliane Schandene
Affiliation:
Department of Immunology, Hôpital Erasme, Free University of Brussels (U.L.B.), Brussels, Belgium.
Elie Cogan
Affiliation:
Department of Medicine, Hôpital Erasme, Free University of Brussels (U.L.B.), Brussels, Belgium.
*
Address for correspondence: Dr S. Saussez, Department of Otolaryngology, Hôpital Erasme, 808 Route de Lennik, 1070 Brussels, Belgium. Fax: 32-2-555.68.26
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Abstract

A case of undifferentiated carcinoma of the nasopharynx presenting as a cervical mass associated with a paraneoplastic neutrophilic leukemoid reaction is reported. The diagnosis of undifferentiated nasopharyngeal carcinoma of the Regaud type was established by the presence of aggregates of epithelial neoplastic cells separated by areas of reactive lymphoid cells; the epithelial nature being confirmed by the positivity for epithelial markers (AE1/AE3, EMA). Serum IL-la, GM-CSF and TNFα remained undetectable suggesting that these factors were not involved in the occurrence of the paraneoplastic leukemoid syndrome.

Keywords

Nasopharyngeal neoplasmsCarcinomaParaneoplastic syndromesLeukemoid reaction
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 1 , January 1997 , pp. 66 - 69
Copyright
Copyright © JLO (1984) Limited 1997

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References

Bailet, J. W., Mar, R. J., Abemayor, E., Lee, S. P., Tran, L. M., Juillard, G., Ward, P. H. (1992) Nasopharyngeal carcinoma: treatment results with primary radiation therapy. Laryngoscope 102: 965–972.Google Scholar
Billaud, M., Busson, P., Huang, D., Mueller-Lantzch, N., Rousselet, G., Pavlish, O., Wakasugi, H., Seigneurin, J. M., Tursz, T., Lenoir, G. M. (1989) Epstein-Barr virus (EBV) containing nasopharyngeal carcinoma cells express the B- cell activation antigen blast 2/CD23 and low levels of the EBV receptor CR2. Journal of Virology 63(10): 4121–4128.Google Scholar
Busson, P., Braham, K., Ganem, G., Thomas, F., Grausz, D., Lipinski, M., Wakasugi, H., Tursz, T. (1987) Epstein-Barr virus containing epithelial cells from nasopharyngeal carcinoma produce interleukin 1 alpha. Proceedings of the American Society of Clinical Oncology 84: 6262–6266.Google Scholar
Cvitkovic, E., Bachouchi, M., Boussen, H., Busson, P., Rousselet, G., Mahjoubi, R., Flores, P., Tursz, T., Armand, J.-P., Azli, N. (1993) Leukemoid reaction, bone marrow invasion, fever of unknown origin, and metastatic pattern in the natural history of advanced undifferentiated carcinoma of nasopharyngeal type: a review of 255 consecutive cases. Journal of Clinical Oncology 11: 2434–2442.Google Scholar
Henle, W., Henle, G. (1981) The association of Epstein-Barr virus with nasopharyngeal carcinoma. In: Nasopharyngeal Carcinoma. (Grundmann, E., Krueger, G. R. F., Ablashi, D. V., eds.) Cancer Campaign, Gustav Fischer Verlag, Stuttgart, New York, NY, pp 1–6.Google Scholar
Ho, H. C. (1971) Genetic and environmental factors in nasopharyngeal carcinoma. In Recent Advances in Human Tumour Virology and Immunology. University of Tokyo Press, Tokyo, Japan, pp 275–295.Google Scholar
Huang, S. C., Tak-Lui, L., Chou, Lynn T. (1985) Nasopharyngeal cancer, study III. A review of 1206 patients treated with combined modalities. International Journal of Radiation Oncology Biopsy Physics 10(11): 1789–1793.Google Scholar
Kavanagh, B. D., Halperin, E. C., Rosenbaum, L. C., Shannon, E. M., Nilaver, G. (1992) Syndrome of inappropriate secretion of antidiuretic hormone in a patient with carcinoma of the nasopharynx. Cancer 69: 1315–1319.3.0.CO;2-2>CrossRefGoogle Scholar
Maalej, M., Ladgham, A., Ennouri, A., Ben, Attia A., Cammoun, M., Ellouze, R. (1985) Le syndrome paranéoplasique du cancer du nasopharynx. Trente-deux observations. La presse médicale 28: 471–474.Google Scholar
Regaud, C., Reverchon, L. (1921) Sur un cas d'épithélioma épidermoïde développée dans le massif maxillaire supérieur étendu aux ligaments de Ia face aux cavités buccale, nasale et orbitaire ainsi qu'aux ganglions du cou guéri par la radiothérapie. Revue de Laryngologie 42: 369–378.Google Scholar
Sato, K., Fujii, Y., Ono, M., Nomura, H., Shizume, K. (1987) Production of interleukin 1 alpha-like factor and colony stimulating factor by a squamous cell carcinoma of the thyroid (T3M-5) derived from a patient with a hypercalcemia and leukocytosis. Cancer Research 47: 6474–6480.Google ScholarPubMed
Zornoza, J., Cangir, A., Green, B. (1977) Hypertrophic osteoarthropathy associated with nasopharyngeal carcinoma. American Journal of Roentgenology 128: 679–681.Google Scholar