An unusual case of recurrent nasopharyngeal carcinoma occurring within the stroma of benign nasal polyps is described. The patient was primarily treated with radiotherapy at first diagnosis. Two years later, he was diagnosed to have benign nasal polyps and had endoscopic sinus surgery. The recurrence was only diagnosed from histological examination of the polyps.The necessity for preoperative histological examination of any nasal polyp in patients with a past history of nasopharyngeal carcinoma and the importance of histological examination of all nasal polyps removed at surgery are emphasized.
Our patient was a 39-year-old Chinese man with nasopharyngeal carcinoma (NPC) presenting initially with right upper cervical lymphadenopathy. He was treated primarily with a course of radiotherapy, following which he was examined three monthly and was found to be free of disease in the nasopharynx and the neck.
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