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Recurrent epistaxis in a nine-year-old boy: benign or malignant?

  • H F Dean (a1), S Hadjisymeou (a1), G Morrison (a1) and I Hore (a1)

Abstract

Objective:

We present the case of a rare cause of epistaxis in a paediatric patient, together with the diagnostic and management challenges associated with this condition.

Case report:

A previously well nine-year-old boy presented with a six-month history of intermittent unilateral epistaxis. Radiological investigation and endoscopic biopsy confirmed a highly malignant nasopharyngeal mass consistent with carcinoma. The tumour continued to grow rapidly. Whilst awaiting intervention, the patient experienced a further significant haemorrhage requiring surgical intervention.

Conclusion:

Nasopharyngeal carcinoma is a rare cause of epistaxis amongst children in the UK. Early flexible nasendoscopy can help delineate both benign and sinister causes of symptoms in this region.

Copyright

Corresponding author

Address for correspondence: Dr H Dean, c/o Veronica Callendar, 6th Floor, Evelina London Children's Hospital, Westminster Bridge Road, London SE17 1EH, UK E-mail: harrydean@doctors.org.uk

Footnotes

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Oral presentation at the 146th Semon Club meeting, 5 November 2013, London, UK

Footnotes

References

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Keywords

Recurrent epistaxis in a nine-year-old boy: benign or malignant?

  • H F Dean (a1), S Hadjisymeou (a1), G Morrison (a1) and I Hore (a1)

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