Nasopharyngeal Carcinoma in Children: Clinical Cases

Background. Nasopharyngeal cancer is rare malignant tumor of childhood. The clinical signs of this disease are rhinolalia, nasal breathing difficulties, headache and lymphadenopathy. There are no clinical cases of this nosology described previously in Russian literature. Clinical Cases Description....

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Main Authors: Mark E. Prokofyev, Nina O. Postanogova, Olga E. Nikonova
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2021-05-01
Series:Вопросы современной педиатрии
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Online Access:https://vsp.spr-journal.ru/jour/article/view/2608
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author Mark E. Prokofyev
Nina O. Postanogova
Olga E. Nikonova
author_facet Mark E. Prokofyev
Nina O. Postanogova
Olga E. Nikonova
author_sort Mark E. Prokofyev
collection DOAJ
description Background. Nasopharyngeal cancer is rare malignant tumor of childhood. The clinical signs of this disease are rhinolalia, nasal breathing difficulties, headache and lymphadenopathy. There are no clinical cases of this nosology described previously in Russian literature. Clinical Cases Description. 1. Patient T., 11 years old, was moved from otolaryngology to oncology department due to CT findings of lump in the nasopharynx. At admission the child had complaints on fatigue, nasal  stuffiness, headache for past 3 months, pain in the neck at turning of his head. The histological study of this lump closing choanae at both sides was performed — nasopharyngeal carcinoma was revealed. 2. Patient A., 14 years old, was hospitalized in oncology department after self-admission to pediatric oncologist with complaints on rhinolalia for a month and jugular glands increase on both sides, weight loss (2 kilos) during last 3 months. Prior to this he was managed on outpatient basis and in infectious diseases department with the diagnosis “Infectious mononucleosis. EBV associated (antibodies (IgG) to capsid antigen of Epstein–Barr virus — 5.4 copies/ml), atypical moderate course”. The generalized lymphadenopathy was revealed during examination in the oncology department. Multiple conglomerates of lymph nodes groups were revealed on CT scans. The histological study of biopsy sample from affected lymph node has shown metastases of nasopharyngeal carcinoma. The therapy according to the NPC-GPOH-2003 protocol was prescribed with marked positive dynamics after 3 months. Conclusion. The presence of headache, nasal breathing difficulties, body weight loss, fever in combination with lymphadenopathy in the neck  requires caution regarding nasopharyngeal cancer and in differential diagnosis with any other infectious or inflammatory diseases.
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spelling doaj-art-6ae484b9476e4139ac0dd735cf2bc3452025-08-20T03:34:41Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352021-05-0120215516510.15690/vsp.v20i2.22601949Nasopharyngeal Carcinoma in Children: Clinical CasesMark E. Prokofyev0Nina O. Postanogova1Olga E. Nikonova2Perm State Medical University n.a. academician E.A. WagnerCity Children's Clinical Hospital № 3Regional Children's Clinical HospitaBackground. Nasopharyngeal cancer is rare malignant tumor of childhood. The clinical signs of this disease are rhinolalia, nasal breathing difficulties, headache and lymphadenopathy. There are no clinical cases of this nosology described previously in Russian literature. Clinical Cases Description. 1. Patient T., 11 years old, was moved from otolaryngology to oncology department due to CT findings of lump in the nasopharynx. At admission the child had complaints on fatigue, nasal  stuffiness, headache for past 3 months, pain in the neck at turning of his head. The histological study of this lump closing choanae at both sides was performed — nasopharyngeal carcinoma was revealed. 2. Patient A., 14 years old, was hospitalized in oncology department after self-admission to pediatric oncologist with complaints on rhinolalia for a month and jugular glands increase on both sides, weight loss (2 kilos) during last 3 months. Prior to this he was managed on outpatient basis and in infectious diseases department with the diagnosis “Infectious mononucleosis. EBV associated (antibodies (IgG) to capsid antigen of Epstein–Barr virus — 5.4 copies/ml), atypical moderate course”. The generalized lymphadenopathy was revealed during examination in the oncology department. Multiple conglomerates of lymph nodes groups were revealed on CT scans. The histological study of biopsy sample from affected lymph node has shown metastases of nasopharyngeal carcinoma. The therapy according to the NPC-GPOH-2003 protocol was prescribed with marked positive dynamics after 3 months. Conclusion. The presence of headache, nasal breathing difficulties, body weight loss, fever in combination with lymphadenopathy in the neck  requires caution regarding nasopharyngeal cancer and in differential diagnosis with any other infectious or inflammatory diseases.https://vsp.spr-journal.ru/jour/article/view/2608childrennasopharyngeal cancerclinical caselymphadenopathynasopharyngeal carcinoma
spellingShingle Mark E. Prokofyev
Nina O. Postanogova
Olga E. Nikonova
Nasopharyngeal Carcinoma in Children: Clinical Cases
Вопросы современной педиатрии
children
nasopharyngeal cancer
clinical case
lymphadenopathy
nasopharyngeal carcinoma
title Nasopharyngeal Carcinoma in Children: Clinical Cases
title_full Nasopharyngeal Carcinoma in Children: Clinical Cases
title_fullStr Nasopharyngeal Carcinoma in Children: Clinical Cases
title_full_unstemmed Nasopharyngeal Carcinoma in Children: Clinical Cases
title_short Nasopharyngeal Carcinoma in Children: Clinical Cases
title_sort nasopharyngeal carcinoma in children clinical cases
topic children
nasopharyngeal cancer
clinical case
lymphadenopathy
nasopharyngeal carcinoma
url https://vsp.spr-journal.ru/jour/article/view/2608
work_keys_str_mv AT markeprokofyev nasopharyngealcarcinomainchildrenclinicalcases
AT ninaopostanogova nasopharyngealcarcinomainchildrenclinicalcases
AT olgaenikonova nasopharyngealcarcinomainchildrenclinicalcases