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Persistent cervical adenitis and nasopharyngeal carcinoma in children

  • Karen I. Norton
    Correspondence
    Address reprint requests to: Karen I. Norton, MD, Department of Radiology, Mount Sinai Hospital, One Gustave L. Levy Place, New York, New York 10029.
    Affiliations
    Departments of Radiology and Otolaryngology of the Mount Sinai Medical Center of the City University of New York, New York, New York, USA
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  • Peter M. Som
    Affiliations
    Departments of Radiology and Otolaryngology of the Mount Sinai Medical Center of the City University of New York, New York, New York, USA
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  • Joel M.A. Shugar
    Affiliations
    Departments of Radiology and Otolaryngology of the Mount Sinai Medical Center of the City University of New York, New York, New York, USA
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      Abstract

      The high prevalence of inflammatory disease in pediatric patients makes the occurrence of prominent adenoidal tissue and cervical adenopathy a common finding. Unfortunately, rare nasopharyngeal cancer shares these physical findings in common with benign inflammatory disease of the pharynx. Computed tomography permits evaluation of nodal necrosis or wall nodularity, allowing clinically silent submucosal tumor extension to be well defined. In patients with suspected nasopharyngeal inflammatory disease who do not respond to conservative therapy, computed tomography can be used to aid directed biopsies.

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