Daniel Adekunle, Fasunla Ayotunde James
Department of Otorhinolaryngology, College of Medicine and University College Hospital, PMB 5116, Queen Elizabeth Road, Ibadan, Oyo-State, Nigeria.
J Med Case Rep. 2011 Oct 31;5:532. doi: 10.1186/1752-1947-5-532.
Nasopharyngeal cancer commonly manifests with cervical lymphadenopathy, recurrent epistaxis and progressive nasal obstruction. Neuro-ophthalmic and otologic manifestations can also occur. Isolated otologic presentations of nasopharyngeal cancer are rare and the diagnosis of nasopharyngeal cancer may not be foremost in the list of differentials.
We present the case of a 29-year-old Nigerian woman with bilateral conductive hearing loss and tinnitus after air travel. There were no other symptoms. The persistence of the symptoms after adequate treatment for otitic barotrauma necessitated re-evaluation, which led to a diagnosis of nasopharyngeal cancer.
Isolated otologic manifestations of nasopharyngeal cancer are rare in regions with low incidence of the disease. There is a need for it to be considered as a possible differential in patients presenting with bilateral serous otitis media.
鼻咽癌通常表现为颈部淋巴结肿大、反复鼻出血和进行性鼻塞。也可能出现神经眼科和耳科表现。鼻咽癌单独的耳科表现很少见，在鉴别诊断中鼻咽癌可能并非首要考虑因素。
我们报告一例29岁尼日利亚女性病例，该患者在乘飞机旅行后出现双侧传导性听力损失和耳鸣。无其他症状。在对耳气压伤进行充分治疗后症状仍持续，因此需要重新评估，最终诊断为鼻咽癌。
在鼻咽癌发病率较低的地区，其单独的耳科表现很少见。对于双侧浆液性中耳炎患者，有必要将鼻咽癌视为一种可能的鉴别诊断。
