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==Overview==
==Overview==
'''Nasopharyngeal carcinoma''' (NPC) is a [[cancer]] originating in the [[nasopharynx]], the uppermost region of the [[pharynx]] or "throat", where the [[Nasal cavity|nasal passages]] and [[eustachian tube|auditory tubes]] join the remainder of the [[upper respiratory tract]]. NPC differs significantly from other [[head and neck cancer|cancers of the head and neck]] in its [[epidemiology|occurrence]], [[etiology|causes]], clinical behavior, and treatment. It is vastly more common in certain regions of East Asia and Africa than elsewhere, with [[virus|viral]], [[diet]]ary, and [[human genetics|genetic]] factors implicated in its causation.
'''Nasopharyngeal carcinoma''' (NPC) is a [[cancer]] originating in the [[nasopharynx]], the uppermost region of the [[pharynx]] or "throat", where the [[Nasal cavity|nasal passages]] and [[eustachian tube|auditory tubes]] join the remainder of the [[upper respiratory tract]]. NPC differs significantly from other [[head and neck cancer|cancers of the head and neck]] in its [[epidemiology|occurrence]], [[etiology|causes]], clinical behavior, and treatment. It is vastly more common in certain regions of East Asia and Africa than elsewhere, with [[virus|viral]], [[diet]]ary, and [[human genetics|genetic]] factors implicated in its causation.
==Classification==
Nasopharyngeal carcinoma is classified as a malignant [[neoplasia|neoplasm]], or [[cancer]], arising from the [[mucosa]]l [[epithelium]] of the [[nasopharynx]], most often within the ''lateral nasopharyngeal recess'' or ''fossa of Rosenmüller''. There are three [[histopathology|microscopic]] subtypes of NPC: a well-differentiated ''[[keratin]]izing'' type, a moderately-differentiated ''nonkeratinizing'' type, and an ''undifferentiated'' type, which typically contains large numbers of non-cancerous [[lymphocytes]] (chronic inflammatory cells), thus giving rise to the name ''[[lymphoepithelioma]]''. The undifferentiated form is most common, and is most strongly associated with [[Epstein-Barr virus]] infection of the cancerous cells.<ref name="Weidner's">{{cite book |author=Richard Cote, Saul Suster, Lawrence Weiss, Noel Weidner (Editor) |title=Modern Surgical Pathology (2 Volume Set) |publisher=W B Saunders |location=London |year= |pages= |isbn=0-7216-7253-1 |oclc= |doi=}}</ref>
<gallery>
Image:Lymphoepithelioma met to LN 4.jpg|Undifferentiated nasopharyngeal carcinoma - low power
Image:Lymphoepithelioma met to LN 1.jpg|Undifferentiated nasopharyngeal carcinoma - med. power
Image:Lymphoepithelioma met to LN 2.jpg|Undifferentiated nasopharyngeal carcinoma - high power
</gallery>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 14:09, 18 January 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Nasopharyngeal carcinoma (NPC) is a cancer originating in the nasopharynx, the uppermost region of the pharynx or "throat", where the nasal passages and auditory tubes join the remainder of the upper respiratory tract. NPC differs significantly from other cancers of the head and neck in its occurrence, causes, clinical behavior, and treatment. It is vastly more common in certain regions of East Asia and Africa than elsewhere, with viral, dietary, and genetic factors implicated in its causation.

Classification

Nasopharyngeal carcinoma is classified as a malignant neoplasm, or cancer, arising from the mucosal epithelium of the nasopharynx, most often within the lateral nasopharyngeal recess or fossa of Rosenmüller. There are three microscopic subtypes of NPC: a well-differentiated keratinizing type, a moderately-differentiated nonkeratinizing type, and an undifferentiated type, which typically contains large numbers of non-cancerous lymphocytes (chronic inflammatory cells), thus giving rise to the name lymphoepithelioma. The undifferentiated form is most common, and is most strongly associated with Epstein-Barr virus infection of the cancerous cells.[1]

References

  1. Richard Cote, Saul Suster, Lawrence Weiss, Noel Weidner (Editor). Modern Surgical Pathology (2 Volume Set). London: W B Saunders. ISBN 0-7216-7253-1.