Case Report

Nasopharyngeal Carcinoma with Atypical Ophthalmic Presentation- A Rare Case Report

Shaqul Qamar Wani, Talib Khan, Saiful Yamin Wani, Arshid Manzoor Najmi, Tariq Rasool Malik, Mohamad Maqbool Lone and Fir Afroz
World Journal of Surgical Medical and Radiation Oncology 2015, 4:6

Abstract

Introduction

Nasopharyngeal carcinoma (NPC), a rare malignancy with unique and complex etiology, is most confused and commonly misdiagnosed disease and can present as painless enlargement of upper neck nodes, followed by nasal, aural, ophthalmic, neurological manifestations.

Case presentation

We present a case of NPC in a 24 year old unmarried female, who initially presented with painless bilateral loss of vision, initially treated empirically for optic neuritis and Tuberculosis for four years.

Conclusion

Isolated painless and bilateral loss of vision though unusual and rare manifestation of NPC should be considered as a possible differential.

Key words

nasopharyngeal carcinoma, bilateral loss of vision, optic neuritis, paraneoplastic effect, ophthalmic presentation.

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