ArticleInternational journal of surgery case reports2026
A pediatric nasopharyngeal carcinoma masquerading as Kimura disease: a rare case report from Nepal.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction and Importance: Nasopharyngeal carcinoma (NPC) is an epithelial malignancy of the nasopharyngeal mucosa, most often arising in the fossa of Rosenmüller. While exceedingly rare in children under 10 years, it shows a male predominance. Case presentation: A 9-year-old male presented with bilateral cervical lymphadenopathy persisting for 1 year. Initially, unilateral right-sided neck swelling progressed to bilateral involvement with a left-sided mass. Trucut biopsy showed features consistent with Kimura disease. Repeat ultrasound-guided lymph node biopsy revealed an Epstein-Barr virus (EBV)-positive non-keratinizing metastatic carcinoma, suggestive of NPC, further confirmed by immunohistochemical analysis. Treatment with neoadjuvant platinum-based chemotherapy, followed by radiotherapy, achieved a complete clinical response at 6 months. Clinical Discussion: This case demonstrates a critical diagnostic pitfall where pediatric NPC initially masqueraded as Kimura disease due to inflammatory-predominant tissue sampling. The diagnostic breakthrough came through repeat ultrasound-guided biopsy with comprehensive immunohistochemical analysis and EBV-encoded RNA Conclusion: In a resource-limited setting like Nepal, for the early diagnosis and treatment of NPC, a combination of novel testing methods and a high index of suspicion in a patient with unilateral or bilateral neck swelling is necessary.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.