Atypical Presentation of Nasopharyngeal Carcinoma
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چکیده
A 18 year-old African American male, smoker with no significant past medical history, presented to the Emergency Room (ER) complaining of unilateral neck pain, he was sent home on pain killers and muscle relaxant. The following two months his pain did not get better, he developed sore throat and was seen by his PMD who found a neck lymph node enlargement and prescribed him antibiotics. On his second visit to the ER a Computed Tomography (CT) scan of the neck was ordered and showed a nasopharyngeal mass. The patient denied fever, night sweats, weight loss or any other complaints. He had no history of trauma, surgery. He smokes cigarettes, drinks alcohol occasionally. Physical examination showed right side LN enlargement in the neck around 2x2 cm, firm in consistency.
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