Thyroid-like low grade nasopharyngeal papillary adenocarcinoma presenting as snoring in a 49-year-old male

Abstract We present a case of thyroid-like low grade nasopharyngeal papillary adenocarcinoma in a 49-year-old male, who presented with snoring. This tumour is an extremely rare neoplasm in the nasopharynx which mimics papillary thyroid carcinoma morphologically. The tumour cells were strongly and diffusely positive for TTF 1, but were negative with antibodies to thyroglobulin. It is important to recognize this rare entity as these tumours are amenable to surgical resection and have an excellent prognosis.