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Published on: February 28, 2019
[Prolonged epistaxis symptom of nasopharynx carcinoma in a child]
Christian Corfitz Andersen1, Thomas Hjuler1, Kasper Daugaard Larsen1
1Afdeling for Øre-Næse-Halskirurgi og Audiologi, Københavns Universitetshospital - Rigshospitalet.
Insights
Recurrent nosebleeds in a child, accompanied by sleep issues and poor weight gain, may signal nasopharyngeal carcinoma. Early detection and comprehensive therapy led to a full recovery in this pediatric case.
Area of Science:
- Pediatric Oncology
- Otolaryngology
- Virology
Background:
- Recurrent epistaxis (nosebleeds) in children can have various causes, necessitating thorough investigation.
- Nasopharyngeal masses are rare in pediatric populations but can present with subtle, non-specific symptoms.
- Epstein-Barr Virus (EBV) is associated with an increased risk of certain malignancies, including nasopharyngeal carcinoma (NPC).
Abstract:
This case report presents a ten-year-old boy with recurrent nosebleeds (epistaxis) over an extended period. In addition, he showed signs of slowed weight gain and developed symptoms such as snoring and sweating during sleep. Rhinoscopy revealed a mass in the nasopharynx, and further tests confirmed the presence of an Epstein-Barr Virus-positive nasopharyngeal carcinoma. After several rounds of chemo-, proton-, and immunomodulating therapy, the boy has recovered and is now in good health. This case highlights the importance of a thorough examination when epistaxis is accompanied by other risk factors.
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