Nasopharyngeal carcinoma is a lymphoepithelioma comprising lymphoid elements admixed with malignant epithelial cells identical to those of a poorly differentiated squamous cell carcinoma. The epithelial cells, not the lymphoid elements, are considered neoplastic.
Biopsy is necessary to differentiate nasopharyngeal carcinoma from other nasopharyngeal malignancies, such as:
Spread may occur:
Lymphatic spread tends to occur earliest.
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