Abstract

During the last six years I have examined in the Mayo Clinic seventy-nine patients with malignant tumors of the nasopharynx. These tumors include only epitheliomas and lymphosarcomas, not fibromas or myxomas. I have gradually become impressed with the facts that: (1) malignant tumors of the nasopharynx are much more common than has been believed; (2) the syndrome which they present is not generally known, which accounts for many patients being treated medically and surgically without the discovery of the tumor, and (3) there is a striking lack of nasal or nasopharyngeal symptoms in many of these cases. The close relationship of the nasopharyngeal region to the eustachian tube, the second, third and fourth nerves, the second and third divisions of the fifth and the sixth nerves, the gasserian ganglion, the sella turcica, the jugular foramen, and the ninth, tenth, eleventh and twelfth nerves may make the symptoms and findings of

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