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Nasopharyngeal masses in adults
The Annals of Otology, Rhinology, and Laryngology
|March 1, 1983
Summary
Persistent pain, epistaxis, trismus, or cervical mass in adults with nasopharyngeal masses are uncommon with benign histology. These symptoms should raise clinical suspicion for malignancy, aiding early lesion recognition.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Diagnostic Imaging
Background:
- Nasopharyngeal masses in adults raise significant concern for malignancy.
- Early and accurate diagnosis is crucial for effective management.
- Distinguishing benign from malignant nasopharyngeal lesions can be challenging.
Observation:
- A retrospective review analyzed 57 adult patients with nasopharyngeal masses.
- Data included patient records, radiographic imaging, and biopsy histology.
- Clinical presentations and diagnostic imaging findings were correlated with histology.
Findings:
- Persistent pain, epistaxis, trismus, or cervical mass were uncommon in patients with benign nasopharyngeal masses.
- The presence of these symptoms should alert clinicians to a higher probability of malignancy.
- Conventional radiography, polytomography, and computed tomography (CT) scans play roles in evaluation.
Implications:
- A high index of clinical suspicion is essential for recognizing early nasopharyngeal malignancies.
- Specific symptoms can serve as red flags for potentially malignant lesions.
- Understanding the diagnostic utility of various imaging modalities is important for patient care.