Clin Exp Otorhinolaryngol.  2013 Dec;6(4):263-265.

Exclusively Endoscopic Resection of Nasopharyngeal Adenocarcinoma

Affiliations
  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian Hospital, Changhua, Taiwan. 53780@cch.org.tw
  • 2Mingdao University, Changhua, Taiwan.
  • 3Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

Abstract

We reported two patients with nasopharyngeal adenocarcinoma resected by using the exclusively endoscopic approach. Case reports and a review of the world literature concerning nasopharyngeal adenocarcinoma. The tumors were resected successfully via the exclusively endoscopic approach and no conversions to the conventional approach were necessary. The two patients were followed up for 26 and 18 months respectively, and no recurrence was noted without postoperative chemotherapy or radiotherapy. To the best of our knowledge, this is the first report of endoscopic resection of nasopharyngeal adenocarcinoma. Our experience revealed that not only for the early recurrent nasopharyngeal carcinoma, the exclusively endoscopic nasopharyngectomy can be expanded for the resection of selected nasopharyngeal adenocarcinoma.

Keyword

Nasopharyngeal adenocarcinoma; Surgery; Exclusively; Endoscope; Nasopharyngectomy

MeSH Terms

Adenocarcinoma*
Drug Therapy
Endoscopes
Humans
Nasopharyngeal Neoplasms
Radiotherapy
Recurrence

Figure

  • Fig. 1 Pre- and postoperative magnetic resonance imaging (MRI) images of the patient at the level of the nasopharynx. (A) Preoperative axial MRI (T1-weighted, post gadolinium enhancement) shows the tumor (arrow) in the left nasopharynx. (B) Postoperative axial MRI (T1-weighted, post gadolinium enhancement with fat suppression) shows no detectable tumor recurrence after surgery.


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