Gastpar H, Wilmes E, Wolf H: Epidemiologic, etiologic and immunologic aspects of nasopharyngeal carcinoma (NPC). .J Med 12::257. ,1981. .
Chiesa F, De Paoli F: Distant metastases from nasopharyngeal cancer. .ORL J Otorhinolaryngol Relat Spec 63::214. ,2001. .
Weber AL, al-Arayedh S, Rashid A: Nasopharynx: clinical, pathologic, and radiologic assessment. .Neuroimaging Clin N Am 13::465. ,2003. .
Langendijk JA, Leemans CR, Buter J, et al: The additional value of chemotherapy to radiotherapy in locally advanced nasopharyngeal carcinoma: a meta-analysis of the published literature. .J Clin Oncol 15::4604. ,2004. .
Al-Sarraf M, Reddy MS: Nasopharyngeal carcinoma. .Curr Treat Options Oncol 3::21. ,2002. .
Yoshizaki T: Promotion of metastasis in nasopharyngeal carcinoma by Epstein-Barr virus latent membrane protein-1. .Histol Histopathol 17::845. ,2002. .
DeWitt KD, Lee N: “Benign and Malignant Lesions of the Oral Cavity, Oropharynx, and Nasopharynx,” in Current Diagnosis and Treatment in Otolaryngology: Head and Neck Surgery, by Anil K. Lalwani, p 373, McGraw-Hill Professional, New York, NY. ,2006. .
Nasopharyngeal carcinoma is a rare tumor originating from the epithelium of the nasopharynx. Distant metastases involve the lungs, skeleton, liver, and occasionally the choroid. I present the case of a 33-year-old man with stage-IV nasopharyngeal carcinoma and an unusual distant metastasis to the hallux, which has not previously been described in the literature. (J Am Podiatr Med Assoc 98(3): 239–241, 2008)