J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803413
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Surgical Video: Endoscopic Nasopharyngectomy and Carotid Artery Resection for Recurrent Undifferentiated Nasopharyngeal Carcinoma

Aline Bruno Figuereido Nicolau
1   Universidade Federal de São Paulo, São Paulo, SP, Brazil
,
Paula Angelica Lorenzon Silveira
2   Universidade Federal de São Paulo, AC Camargo Cancer Center, São Paulo, SP, Brazil
,
Marcus Vinicius Furlan
3   Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil
,
Francisco Ferreira Ramos Junior
4   Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
,
Ronaldo Nunes Toledo
2   Universidade Federal de São Paulo, AC Camargo Cancer Center, São Paulo, SP, Brazil
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We present a surgical video of a 41-year-old patient treated 5 years ago with neoadjuvant chemotherapy and radiotherapy for undifferentiated nasopharyngeal carcinoma with cervical metastases. Recent imaging and biopsy confirmed recurrence in the choanal arch, right tubal torus, and an ipsilateral level IB lymph node. We performed endoscopic rhinopharyngectomy and neck dissection. Histopathology revealed involvement of the carotid lacerum segment. Subsequently, we performed embolization followed by endoscopic resection of the affected carotid artery segment.



Publication History

Article published online:
07 February 2025

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