“…But in Eastern and Southeast Asia it comprises 18% of all malignant tumours 1 . However, spindle cell type of NPC is extremely rare all over the world and described in very few papers 2,3 . Usual manifestations of NPC include neck lump due to metastasis to cervical lymph nodes, ear fullness, hearing loss due to blockage of Eustachian tubes along with nasal bleeding and obstruction 1,4,5 .…”