Close Menu

What is Critical Diagnostic Role of Adenoid Hypertrophy and Adult-Onset Otitis Media with Effusion in Clinically Asymptomatic Nasopharyngeal Carcinoma?

Journal Authors: 
DOI: 
10.7727/wimj.2017.098

ABSTRACT

Objectives: The aim of this study is to verify the critical role of adenoid hypertrophy and otitis media with effusion in adult patients in relation to diagnostic importance for patients with clinically asymptomatic nasopharyngeal carcinoma.

 Methods: One hundred and six adult patients met our criteria out of 256 cases underwent nasopharyngeal biopsy for the suspect of nasopharyngeal malignancy in our clinic between January 2009 and July 2014 were enrolled in this retrospective study. We divided the patients into two groups according to patients with or without synchronous presence of otitis media with effusion in addition to adenoid hypertrophy.

Results: Two patients out of 68 (2.9%) in the first (only adenoid hypertrophy) group and in one patient out of 38 (2.6%) in the second group had nasopharyngeal carcinoma. There was no statistically significant difference.

Conclusion: We found that asymmetric adenoid hypertrophy in adult patients seems an important risk factor, and we strongly suggest that it needs biopsy for the suspect of nasopharyngeal carcinoma whether they synchronously have or not otitis media with effusion even though in the absence of other clinical symptoms to arouse suspicion about a nasopharyngeal malignancy such as neck mass, epistaxis, cranial nerve impairment.

Accepted: 
09 Jun, 2017
PDF Attachment: 
e-Published: 20 Jun, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Top of Page