Long-term survival of a patient with leptomeningeal involvement by nasopharyngeal carcinoma after treatment with high-dose intravenous methotrexate.

Fakhry, Carole; Bajaj, Gopal; Aygun, Nafi; Westra, William; Gillison, Maura · Head Neck · 2012

case_report · Level V

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Abstract

Nasopharyngeal carcinoma with leptomeningeal involvement is rare and typically has poor prognosis. We present a case report of a patient with nasopharyngeal carcinoma who was treated with high-dose intravenous methotrexate and remains asymptomatic and without clinical evidence of disease 6 years later. Systemic high-dose methotrexate should be evaluated in the treatment of advanced nasopharyngeal carcinoma with central nervous involvement.

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