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Review
. 2008 Feb;122(2):207-9.
doi: 10.1017/S0022215107007293. Epub 2007 Apr 10.

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

Affiliations
Review

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

D Ellul et al. J Laryngol Otol. 2008 Feb.

Abstract

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.

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