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Title: Localised nasopharyngeal amyloidosis: The importance of postoperative follow-up
Authors: Sanathorn Chowsilpa
Saisawat Chaiyasate
Komson Wannasai
Teerada Daroontum
Keywords: Medicine
Issue Date: 1-Jan-2018
Abstract: Copyright © 2018 BMJ Publishing Group. Localised nasopharyngeal amyloidosis is rare. Findings on physical examination and invasive pattern on CT scan can be misleading as it can resemble nasopharyngeal carcinoma. A 64-year-old man presented with left aural fullness for 6 months. The physical examination showed straw-coloured fluid in the left middle ear and irregular reddish mass at the left side of the nasopharynx. The CT scan showed a lobulated heterogeneous mass at the left side of the nasopharynx involving the left Eustachian tube opening. Pathology report was amyloidosis, thus, surgery was done. After a year, there were new foci of amyloidosis at the right side of the nasopharynx, and a repeat surgery was performed. Two years later, the systemic amyloidosis with underlying IgG4-related disease was suspected due to multiple organ involvement. Surgery is the treatment for localised amyloidosis with compressive symptoms. Close follow-up is important after surgical excision due to its recurrence and progression to systemic amyloidosis.
ISSN: 1757790X
Appears in Collections:CMUL: Journal Articles

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