Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma

Nasopharyngeal carcinoma (NPC) has a diverse incidence pattern but remains a rare tumour in the pediatric age group. Childhood nasopharyngeal carcinoma usually presents in the second decade of life. Paediatric NPC cases present a diagnostic challenge due to the high prevalence of common NPC presen...

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Main Authors: Maithrea, N., Periyathamby, S., Mohamad, Irfan
Format: Article
Published: Elsevier 2017
Subjects:
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author Maithrea, N.
Periyathamby, S.
Mohamad, Irfan
author_facet Maithrea, N.
Periyathamby, S.
Mohamad, Irfan
author_sort Maithrea, N.
collection USM
description Nasopharyngeal carcinoma (NPC) has a diverse incidence pattern but remains a rare tumour in the pediatric age group. Childhood nasopharyngeal carcinoma usually presents in the second decade of life. Paediatric NPC cases present a diagnostic challenge due to the high prevalence of common NPC presenting symptoms of nasal obstruction, serous otitis media and hearing problems among children. Furthermore, adenoid tissue is most often present, and a biopsy in an outpatient setup would be difficult. However, trismus on initial presentation is uncommon, and even in adults is a therapy related complication. As such, surgeons should have a high index of suspicion in NPC endemic areas, and a lower threshold for imaging in these cases as overall outcome appeared to be similar between adult and childhood NPC.
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spelling usm.eprints-372742017-10-30T09:32:05Z http://eprints.usm.my/37274/ Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma Maithrea, N. Periyathamby, S. Mohamad, Irfan R5-130.5 General works Nasopharyngeal carcinoma (NPC) has a diverse incidence pattern but remains a rare tumour in the pediatric age group. Childhood nasopharyngeal carcinoma usually presents in the second decade of life. Paediatric NPC cases present a diagnostic challenge due to the high prevalence of common NPC presenting symptoms of nasal obstruction, serous otitis media and hearing problems among children. Furthermore, adenoid tissue is most often present, and a biopsy in an outpatient setup would be difficult. However, trismus on initial presentation is uncommon, and even in adults is a therapy related complication. As such, surgeons should have a high index of suspicion in NPC endemic areas, and a lower threshold for imaging in these cases as overall outcome appeared to be similar between adult and childhood NPC. Elsevier 2017-03 Article PeerReviewed Maithrea, N. and Periyathamby, S. and Mohamad, Irfan (2017) Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 18 (1). pp. 91-93. ISSN 2090-0740 https://doi.org/10.1016/j.ejenta.2016.10.002
spellingShingle R5-130.5 General works
Maithrea, N.
Periyathamby, S.
Mohamad, Irfan
Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
title Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
title_full Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
title_fullStr Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
title_full_unstemmed Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
title_short Trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
title_sort trismus as a rare presenting symptom in a pediatric nasopharyngeal carcinoma
topic R5-130.5 General works
work_keys_str_mv AT maithrean trismusasararepresentingsymptominapediatricnasopharyngealcarcinoma
AT periyathambys trismusasararepresentingsymptominapediatricnasopharyngealcarcinoma
AT mohamadirfan trismusasararepresentingsymptominapediatricnasopharyngealcarcinoma