Nasopharyngeal carcinoma (NPC) is a malignancy that has unique epidemiological characteristics, which incidence varying according to race and geographical differences. The early stage of NPC is often difficult to diagnose clinically because of its hidden location in the nasopharynx and because the initial symptoms resemble an upper respiratory tract infection. Most of the patients diagnosed at an advanced stage. The aim of this study was to determine the profile nasopharyngeal carcinoma in anatomical pathological Dr. Soetomo General Academic Hospital during 1 January 2016 -31 December 2018. This study used a descriptive observational study with a retrospective approach. The data were presented in tables of the distribution of the number of cases, histopathological diagnosis, sex group, age, chief complaints and follow-up based on histopathology. The data was obtained from the electronic medic record (EMR) of Dr. Soetomo General Academic Hospital. There were 431 cases, the most age was 41-50 years, namely 146 cases (33,9%), the most gender was male consist of 302 cases (70%), the most common complaint was a neck lump, 202 cases (47%), non keratinizing squamous cell carcinoma, undifferentiated subtype was the most histopathological type, namely 398 cases (92,3%), and there were 118 cases (27,3%) who were followed up biopsy, 86 patients (20%) with good respon biopsy results, 21 patients (4,9%) with poor respon biopsy results and 11 patients (2,5%) recurrences.