Endonasal endoscopic nasopharyngectomy for the treatment of nasopharyngeal papillary adenocarcinoma: Report of a rare case

Int J Pediatr Otorhinolaryngol. 2018 Jan;104:51-53. doi: 10.1016/j.ijporl.2017.10.041. Epub 2017 Oct 31.


We report a case of low-grade nasopharyngeal papillary adenocarcinoma in a 9 year-old male that was diagnosed incidentally after an adenoidectomy procedure and treated with endonasal endoscopic nasopharyngectomy without any adjuvant therapy. The patient has been followed up for 3 years with no evidence of recurrence. We point out the importance of preoperative fiberoptic nasopharyngoscopy in the absence of longstanding symptoms in school-aged children and histopathologic examination of adenoidectomy specimens in the presence of atypical findings. We also suggest endonasal endoscopic resection in case of papillary adenocarcinoma.

Keywords: Adenoidectomy; Endoscopic nasopharyngectomy; Papillary adenocarcinoma.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Papillary / surgery*
  • Adenoidectomy
  • Carcinoma / surgery*
  • Child
  • Endoscopy / methods*
  • Humans
  • Male
  • Nasal Surgical Procedures / methods
  • Nasopharyngeal Carcinoma
  • Nasopharyngeal Neoplasms / surgery*
  • Nose / pathology
  • Nose / surgery
  • Pharyngectomy / methods*