Nasopharyngeal Cancer
The most common location is Rosenmüller fossa.Its etiology includes salted fish (from nitrosamine content) and EBV. Has a definite relationship with EBV
It is also called lymphoepithelioma because of the lymphoid cells surrounding the tumor.
Classification by WHO
Nonkeratinized carcinoma (differentiated or undifferentiated) (most common)Keratinized squamous cell carcinoma
basaloid squamous cell carcinoma
Clinical Findings
Painless neck mass (in posterior cervical triangle): 76%Nasal findings (epistaxis, congestion, discharge, breathing problem): 73%
Ear complaints (otitis with effusion, tinnitus, etc.): 62%
Cranial nerve findings (3-4-5-6 CN): 20%
Diagnosis: Biopsy
Treatment: Since the tumor is frequently undifferentiated, responds well to radiotherapy, and surgical access is very difficult, the initial treatment is nowadays.
It is RT-KT.
There is no surgical treatment.
Nasopharyngeal Angiofibroma
Juvenile angiofibroma occipital is a tumor that develops from the periostium of the sphenoid bones.It is seen in males aged 8-15 years.
Recurrent nosebleeds occur.
Spontaneous regression occurs after puberty.
Surgery is the first line of treatment.
It does not develop in women and advanced age.
It does not metastasize to the neck.