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Recurrent epistaxis in a nine-year-old boy: benign or malignant?
H F Dean1, S Hadjisymeou1, G Morrison1
1Department of Paediatric Otorhinolaryngology, Evelina London Children's Hospital,Guy's and St Thomas' NHS Foundation Trust,UK.
Objective:
We present the case of a rare cause of epistaxis in a paediatric patient, together with the diagnostic and management challenges associated with this condition.
Case Report:
A previously well nine-year-old boy presented with a six-month history of intermittent unilateral epistaxis. Radiological investigation and endoscopic biopsy confirmed a highly malignant nasopharyngeal mass consistent with carcinoma. The tumour continued to grow rapidly. Whilst awaiting intervention, the patient experienced a further significant haemorrhage requiring surgical intervention.
Conclusion:
Nasopharyngeal carcinoma is a rare cause of epistaxis amongst children in the UK. Early flexible nasendoscopy can help delineate both benign and sinister causes of symptoms in this region.
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