Highlights
Ethmoidal fibrosarcoma is an extremely rare tumor.
Mostly misdiagnosed because of none specifics symptoms, in this case patient didn’t complaint any nasal symptom.
Treatment is not codified and prognosis is unknown.
Nasopharyngeal tuberculosis is a rare entity of extrapulmonary tuberculosis. We describe here 5 cases of primarily tuberculosis presented in ENT outpatient department of 20 August Hospital of CHU Ibn Rochd of Casablanca. 5 patients were enrolled in this study (3 males and 2 females). The main complaints were nasal obstruction and epistaxis. Clinical examination found no cervical lymphadenopathies and nasal endoscopy found a pale pink mass in all patients. Histological examination confirmed the diagnosis of tuberculosis. All patients showed a complete resolution of the disease after 6 months treatment.
A cystic mass that rapidly increases in volume in a dangerous anatomical region, notably the supraclavicular region, which contains important neurovascular elements, must be considered at high risk. A vascular study is mandatory before biopsy. Neoadjuvant chemotherapy can be a treatment option in high‐risk synovial sarcoma.
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