3. Metastasis
Mata & Saraf
Telinga
Nasofaring Epiktasis ringan,
sumbatan hidung
Gejala paling dini timbul
Tinitus, otalgia, gangguan
pendengaran
Diplopia, neuralgia
trigeminal
Mengenai IX, X, XI, dan
XII (sindorm jackson)
Benjolan di leher
4. Diagnosis KNF
• Biopsi Guided-Endoscopic tumor nasofaring
• Biopsi massa pada lokasi berdasarkan hasil PET atau MRI
• Biopsi leher/diseksi dari KGB leher (Tidak disarankan)
5. Histopatologi
Fig. 3 This quartet of non- keratinizing carcinoma show a spectrum
of cytologic features. The nuclei range from vesicular to lightly
granular. Nucleoli are prominent. There is a high nuclear to
cytoplasmic ratio. Inflammatory cells are identified within the
syncytium of tumor cells
This squamous cell carcinoma shows
prominent intercellular bridges,
keratinization and an infiltrative growth
pattern. The tumor is classified as
keratinizing squamous cell carcinoma
Basaloid squamous cell carcinoma
ENDEMIS
Berhubungan erat dengan
infeksi EBV
Non Endemis