Abstract
Nasopharyngeal carcinoma (NPC) is known to present with nasal and aural symptoms. Sometimes neck mass and cranial nerve palsies can be the presenting symptom. Frank epistaxis is relatively rare. Advanced stage disease is usually treated with concurrent chemoradiotherapy. We are reporting a case of NPC patient presented complete nasal obstruction with frank epistaxis. The bleeding was stopped and the disease cured with hemostatic-intent radiotherapy.Bangladesh Journal of Medical Science Vol.15(3) 2016 p.480-482
Highlights
Nasopharyngeal carcinoma (NPC) is common in South-east Asian countries
If the epistaxis is frank, the modality can be used for hemostatic effect
The patient represented with frank excessive epistaxis before the planned chemotherapy and radiotherapy were instituted
Summary
Nasopharyngeal carcinoma (NPC) is common in South-east Asian countries. In Malaysia, the incidence is 25 cases for every 100,000 people in the population. NPC is the most common head and neck cancer. In general it is the second common cancer among men after lung cancer.[1] NPC is a radiosensitive disease. Radiotherapy alone is well accepted for the management for early stage (I and II) disease.[2] In some situation, if the epistaxis is frank, the modality can be used for hemostatic effect. In the present case of stage IV patient, the tumour subsided after the completion of 35 fractions of radiotherapy alone.
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