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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.

Schwannoma, or neurilemmoma, is included in the differential diagnosis of masses in the parapharyngeal space. Schwannomata do not usually cause acute inflammation, and therefore do not tend to present as emergencies as in this case, in which there was acute respiratory embarrassment

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Nasopharyngeal carcinoma presenting as carotidynia in an 18-year-old patient

Rare presentation of a parapharyngeal schwannaoma

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2 results

Nasopharyngeal carcinoma presenting as carotidynia in an 18-year-old patient

Rare presentation of a parapharyngeal schwannaoma