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CASE REPORT OF METASTATIC CARCINOMA OF THE TEMPORAL BONE FROM A PRIMARY NASOPHARYNGEAL MALIGNANCY

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Author: 
*Elmart Euster P. Yap, M.D. and Joseph Roy Vincent Umali, M.D., FPSO-HNS
Country: 
Philippines
Volume & Issue: 
Volume 05, Issue 01, January 2023
Page No: 
3787-3790
Abstract: 

Objectives: Metastatic Temporal Bone Carcinoma from Nasopharyngeal Area is a rare case. There is no exact incidence but with the advent of increasing diagnostic modalities, there has been a steady rise (1). A local literature search with search terminologies of Temporal Bone Metastasis and Temporal Bone Metastasis from Nasopharynx yielded no results that pertains with the case. The goal of this paper is to report a case of Temporal Bone Metastasis from a Nasopharyngeal Area. There are no definite protocols in the treatment of Metastatic Temporal Bone Carcinoma from Nasopharyngeal Area. Materials and Methods: Case presentation of a male patient with incidental finding of Poorly Differentiated Carcinoma of the External Auditory Canal, AS. Patient was treated with 4 (Four) cycles of Chemotherapy and 35 (Thirty-five) sessions of Radiotherapy. Literature review from international case reports and studies were included. Results: A patient presented with External Auditory Canal (EAC) Mass with a biopsy of Poorly Differentiated Carcinoma from a Nasopharyngeal Malignancy. Patient had no surgical intervention but had 4 (Four) cycles of Chemotherapy, 35 (Thirty-five) sessions of Radiotherapy and another 3 (Three) cycles of additional Chemotherapy. The patient tolerated the treatment plan and is now on surveillance. Conclusions: Metastatic Temporal Bone Carcinoma from Nasopharyngeal Area is a rare case. There are no definite protocols in the treatment of Metastatic Temporal Bone Carcinoma from Nasopharyngeal Area. The case presented will be the first case presented in the Philippines and is documented.

KeyWords: 
Nasopharyngeal Carcinoma; Temporal Bone Metastasis