ABSTRACT
This is a case report of a 69-year-old male patient referred to the ENT out patients with right-sided epistaxis and hipoacusis. Fibroptic examination reveals a cystic lesion at the exit of the right eustachian. A CT scan is informed as a well delimited and rounded-shaped tumour compatible with lymphoma. Excisional biopsy by a nasal rigid endoscopy is practiced and the histology result is Warthin's tumour. The nasopharynx is a rather unusual location for this type of tumours, almost exclusive in origin of major salivary glands. It's highlighted the unforeseeable histological diagnosis in this particular anatomical region, where the clinical differential diagnosis is broad and the access difficult.
Subject(s)
Adenolymphoma/diagnostic imaging , Adenolymphoma/pathology , Choristoma/diagnostic imaging , Choristoma/pathology , Nasopharyngeal Neoplasms/diagnostic imaging , Nasopharyngeal Neoplasms/pathology , Nasopharynx , Adenolymphoma/surgery , Aged , Choristoma/surgery , Humans , Magnetic Resonance Imaging , Male , Nasopharyngeal Neoplasms/surgery , RadiographyABSTRACT
Se presenta el caso clínico de un varón de 69 años, que es referido a consultas externas de ORL con epístaxis de repetición e hipoacusia derechas. La exploración fibroscópica demuestra una lesión de aspecto quístico en el rodete tubárico derecho. Se solicita TAC que se informa de tumoración redondeada y bien delimitada compatible con linfoma. Se practica biopsia excisional mediante abordaje endoscópico nasal y el resultado histológico es de tumor de Warthin. La nasofaringe es una localización inusual para este tipo de patología, casi exclusiva de las glándulas salivales mayores. Se destaca la imprevisibilidad del diagnóstico anatomopatológico en un área anatómica "sui generis" donde el diagnóstico diferencial es extenso y difícil el acceso
This is a case report of a 69-year-old male patient referred to the ENT out patients with right-sided epistaxis and hipoacusis. Fibroptic examination reveals a cystic lesion at the exit of the right eustachian. A CT scan is informed as a well delimited and rounded-shaped tumour compatible with lymphoma. Excisional biopsy by a nasal rigid endoscopy is practiced and the histology result is Warthin´s tumour. The nasopharynx is a rather unusual location for this type of tumours, almost exclusive in origin of major salivary glands. It´s highlighted the unforeseeable histological diagnosis in this particular anatomical region, where the clinical differential diagnosis is broad and the access difficult
