Naso-Pharynx Muco-Squamous Cell Carcinoma: About a Case

Muco-squamous cell carcinoma is a rarely localized tumour in the cavum. Its therapeutic characteristics and prognostic factors remain unclear given the limited number of cases reported in the literature. The purpose of our work is to study the clinical, therapeutic and prognostic particuliarities of this entity.

We report the case of a patient aged 59 years, who consulted for a symptomatology made of headache, epistaxis, decrease of the visual acuity of the right eye with association of otological signs. Nasal endoscopy revealed budding formation of the cavum roof and cervical examination did not objectify lymphadenopathy. The scanner imaging showed a tissue process of the roof and posterior wall of the cavum measuring 58 mm 59 mm 47 mm, with extension to the infra temporal pit and invasion of the skull base. The biopsy of the cavum concluded to muco-squamous cell carcinoma. After extension assessment, the tumor was classified T4BN2M0. The patient was treated with exclusive radiotherapy with no local progression or remote metastases after 12 months of regression.