High incidence in Asian people & strong epidemiological link to Epstein-Barr Virus infection.

persistent sinus pain and bloody nasal discharge

P/E: large irregular, hemorrhagic, nasopharyngeal mass.

Biopsy: Very pleomorphic epithelial cells (High grade cancer) + plenty lymphocytes. immunostains +ve for EBV.

Extremely radiosensitive; 50% 5y survival for advanced stage.