Nasopharyngeal Carcinoma

A 42-year-old male from Tamil Nadu presents with a 3-month history of unilateral epistaxis and cervical lymphadenopathy. Flexible nasopharyngoscopy reveals a mass in the nasopharynx. Biopsy confirms squamous cell carcinoma. CT head and neck shows a 4 cm nasopharyngeal mass with ipsilateral cervical lymph node involvement (N2). There is no evidence of distant metastasis on staging imaging. What is the most appropriate next step in management?

A 52-year-old man from southern India presents with unilateral cervical lymphadenopathy and epistaxis. Nasopharyngoscopy reveals a mass in the nasopharynx. Histopathology confirms malignancy. What is the most common histological type of nasopharyngeal carcinoma?

A 48-year-old man from endemic nasopharyngeal carcinoma region presents with unilateral neck mass and nasal obstruction. Biopsy confirms nasopharyngeal carcinoma. What is the most common site of origin within the nasopharynx?

A 42-year-old male from Tamil Nadu presents with a 3-month history of unilateral epistaxis and left-sided otalgia. Examination reveals a mass in the nasopharynx. Biopsy confirms squamous cell carcinoma. CT staging shows a T3N2M0 tumour. What is the most appropriate next step in management?

A 42-year-old man from Tamil Nadu presents with a 3-month history of unilateral epistaxis and progressive nasal obstruction. On examination, he has a mass visible in the nasopharynx with cervical lymphadenopathy (2 cm, firm, mobile nodes in level II). Biopsy shows undifferentiated carcinoma. Contrast-enhanced CT reveals a 4 cm nasopharyngeal mass with erosion of the clivus and involvement of the sphenoid sinus. There is no distant metastasis on staging. What is the TNM stage of this tumor?