Abstract
Nasolaryngeal neoplasm is one of the malignant neoplasm of head and neck region that may present with cervical lymph node enlargement. Nasopharygeal carcinoma constitutes 85% of all malignant tumors of the nasopharynx. It arises from epithelial lining of the nasopharynx, most often within the lateral nasopharyngeal recess or fossa of Rosenmuller.
This was a prospective descriptive study carried out at department of ENT Ghulam Muhammad Mahar Medical College Hospital Sukkur Pakistan, from July 2007 to December 2013. A series of 60 patients admitted to ENT ward and resulted positive for nasopharyngeal carcinoma on histopathological examination were included in this study. Out of 60 patients, 45 were males and 15 were females with male to female ratio 3:1. The age ranged from 8 to68 years old with mean age of 42 years with nasopharyngeal carcinoma. The most common presenting symptom was neck lymphadenopathy in 80%, followed by ear symptoms 35%, nose 25%, neurological 20%, eye 16.66% and throat 11.66% of cases. The majority of cases 75% were diagnosed as squamous cell carcinoma and lymphoma in 21.7% of cases.

Key words: Nasopharyngeal carcinoma, neck lymphadenopathy, squamous cell carcinoma.