A case report of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma with literature review - Scorecard - MDSpire

A case report of thyroid-like low-grade nasopharyngeal papillary adenocarcinoma with literature review

  • By

  • Dehui Kong

  • Man Yang

  • Xie Deng

  • ZiFan Xu

  • Hongqiong Duan

  • Guoqing Pan

  • Zi Lei

  • June 2, 2026

  • 0 min

Share

Clinical Scorecard: Case Study of Thyroid-like Low-Grade Papillary Adenocarcinoma in the Nasopharynx Accompanied by a Literature Review

At a Glance

CategoryDetail
ConditionThyroid-like low-grade nasopharyngeal papillary adenocarcinoma (TL-LGNPPA)
Key MechanismsHistological features include papillary and ductal structures with fibrovascular axes; immunohistochemical markers include TTF-1 and CK positivity, TG negativity, and low Ki-67 index.
Target PopulationPatients with nasopharyngeal tumors, particularly those presenting with nasal obstruction and related symptoms.
Care SettingClinical and pathological assessment in a hospital setting.

Key Highlights

  • TL-LGNPPA is a rare tumor with indolent behavior and good prognosis.
  • Common symptoms include nasal obstruction, nasal bleeding, and rhinorrhea.
  • Histological examination reveals papillary architecture and mild to moderate atypia.
  • Immunohistochemical analysis shows TTF-1 and CK expression, with Ki-67 index usually ≤10%.
  • Accurate diagnosis requires comprehensive histological and immunohistochemical evaluation.

Guideline-Based Recommendations

Diagnosis

  • Comprehensive histological morphological assessment.
  • Immunohistochemical analysis and imaging examination.

Management

  • Endoscopic total resection of the lesion.

Monitoring & Follow-up

  • Regular follow-up for recurrence or complications.

Risks

  • Limited knowledge among clinicians and pathologists due to rarity.

Patient & Prescribing Data

Reported cases include a 28-year-old female with nasal congestion.

Surgical resection is the primary treatment approach.

Clinical Best Practices

  • Utilize a multidisciplinary approach for diagnosis and management.
  • Ensure thorough histopathological examination for accurate diagnosis.
  • Educate clinicians on the characteristics of TL-LGNPPA due to its rarity.

Related Resources & Content

Original Source(s)

Related Content