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Title: | Localised nasopharyngeal amyloidosis: The importance of postoperative follow-up |
Authors: | Sanathorn Chowsilpa Saisawat Chaiyasate Komson Wannasai Teerada Daroontum |
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. |
URI: | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85042184788&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/59011 |
ISSN: | 1757790X |
Appears in Collections: | CMUL: Journal Articles |
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