Solitary rib Metastasis from primary nasopharyngeal carcinoma: a rare clinical presentation Authors Sehrish Abrar Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan Bilal Mazhar Qureshi Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan Nasir Ali Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan Asim Hafiz Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan Agha Mohammad Hammad Khan Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan Ahmed Nadeem Abbasi Department of Oncology, Aga Khan University Hospital, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.4158 Abstract We report a case of a middle age male who presented to our tertiary care university hospital with the complaints of nasal obstruction and decrease hearing. The CT scan of head and neck exhibited a mass in nasopharynx and enlarged bilateral cervical lymph nodes. Biopsy from nasopharynx confirmed the lesion as poorly differentiated non-keratinizing squamous cell carcinoma and staged as cT2N2M0. He received neoadjuvant chemotherapy. Subsequently, he underwent chemo radiation therapy. He represented with left chest wall pain. Imaging confirmed isolated lesion on left sided 6th rib. Rib lesion was resected followed by radiation therapy to surgical bed and systemic treatment. The patient remained disease free for 4.5 years. Later, his disease relapsed, and he died of systemic disease progression. --Continue Downloads Full Text Article Published 2022-08-15 How to Cite Abrar, S., Qureshi, B. M. ., Ali, N. ., Hafiz, A., Khan, A. M. H., & Abbasi, A. N. (2022). Solitary rib Metastasis from primary nasopharyngeal carcinoma: a rare clinical presentation. Journal of the Pakistan Medical Association, 72(9), 1865–1867. https://doi.org/10.47391/JPMA.4158 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 72 No. 9 (2022): SEPTEMBER Section CASE REPORT