2025 Proffered Presentations
V012: SURGICAL VIDEO: ENDOSCOPIC NASOPHARYNGECTOMY AND CAROTID ARTERY RESECTION FOR RECURRENT UNDIFFERENTIATED NASOPHARYNGEAL CARCINOMA
Aline Bruno Figuereido Nicolau, MD1; Paula Angelica Lorenzon Silveira, MD, MSc2; Marcus Vinicius Furlan, MD3; Francisco Ferreira Ramos Junior, MD, PhD4; Ronaldo Nunes Toledo, MD, PhD2; 1Universidade Federal de São Paulo; 2Universidade Federal de São Paulo, AC Camargo Cancer Center; 3Hospital Beneficência Portuguesa de São Paulo; 4Hospital Israelita Albert Einstein
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 carried out embolization followed by endoscopic resection of the affected carotid artery segment.