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External auditory meatus involvement in nasopharyngeal carcinoma

Published online by Cambridge University Press:  18 July 2018

Dai Wee Lee  and
Gwo Fuang Ho
Dai Wee Lee*
Affiliation:
Clinical Oncology Department, University Malaya Medical Center, Kuala Lumpur, Malaysia
Gwo Fuang Ho
Affiliation:
Lembah Pantai, Kuala Lumpur, Malaysia
*
Author for correspondence: Dai Wee Lee, Clinical Oncology Department, University Malaya Medical Center, Kuala Lumpur, 59100, Malaysia. E-mail: eeldavid@hotmail.com Contact number: +60379493037
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Abstract

Background

Nasopharyngeal carcinoma with local extension to the external auditory meatus is rarely reported.

Case presentation

We present two cases of nasopharyngeal carcinoma with invasion to the external auditory meatus. First case at initial presentation; and the second at disease recurrence. Both patients presented with unilateral otologic symptoms corresponding to the affected site; as well as being heavily node positive. Otoscopic examination and 18F-fluorodeoxyglucose positron-emission topography demonstrated the involvement of external auditory meatus.

Conclusions

These two cases highlight the need of careful otoscopic examination and functional imaging to diagnose such cases.

Keywords

external auditory meatusnasopharyngeal carcinomapositron-emission topography
Type
Case Study
Information
Journal of Radiotherapy in Practice , Volume 17 , Issue 3 , September 2018 , pp. 354 - 356
Copyright
© Cambridge University Press 2018 

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