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Nasopharyngeal carcinoma presenting as carotidynia in an 18-year-old patient
D Ellul1, J Cutajar, H Borg Xuereb
1ENT Department, St. Luke's Hospital, Gwardamangia, Malta. davidellul@onvol.net
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.
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