محمدحسین تازیکی - Department of Ear Nose and Throat, Golestan University of Medical Sciences, Gorgan, Iran
محمدمهدی تازیکی - mazandaran University of Medical Sciences, Gorgan, Iran

Background & Objective: Nasopharynx could be affected by many tumors types such as carcinoma and lymphoma. These tumors present specific manifestations and symptoms. In rare cases these tumors can present unusual symptoms and without careful attention could be missed. In the present article we have described a rare case of nasopharyngeal tumor which a mass in cheeks. Case presentation: A ۷۲ year-old female who presented inflammation and a mass in left cheek, nasal obstruction in right nose was referred to CTS department and coronal view of paransal sinus was performed. Because sinuses were intact, patient was treated with antibiotic and antiallergic drugs. In spite of medical therapies, cheek mass growth continued and CTS was repeated in coronal and axial view. In these images, a mass in left Nasopharynx and a polypoid mass in right nasal cavity were found. Patient was undergone endoscopic surgery and biopsies were done from those sites .Pathologist reported a nasal polyp in right nose and an undifferentiated carcinoma of left Nasopharynx and cheek. Immunohistochemistry investigation for differentiated tumor from lymphoma was done and confirmed the lymphoma. Patient was refereed to oncologist for further treatment. Conclusion: In management of patient we should consider unusual presentation of nasopharyngeal lymphoma with cheek mass which is an unusual presentation of this tumor.

Lymphoma, Nasopharyngeal carcinoma, Clinical presentation, لنفوم, نازوفارنکس, کارسینوما, تظاهر کلینیکی