{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:31:51Z","timestamp":1760315511258,"version":"build-2065373602"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalimaging.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Imaging"],"published-print":{"date-parts":[[2021,4]]},"DOI":"10.1016\/j.clinimag.2020.11.029","type":"journal-article","created":{"date-parts":[[2020,11,14]],"date-time":"2020-11-14T09:42:57Z","timestamp":1605346977000},"page":"70-74","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Atypical metastasis of nasopharyngeal cancer: noncontiguous spread to the ipsilateral ear"],"prefix":"10.1016","volume":"72","author":[{"given":"Mykayla L.","family":"Sandler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R.","family":"Sims","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica H.","family":"Xing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azita S.","family":"Khorsand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Brandwein-Weber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy Y.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark L.","family":"Urken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"9476","key":"10.1016\/j.clinimag.2020.11.029_bb0005","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1016\/S0140-6736(05)66698-6","article-title":"Nasopharyngeal carcinoma","volume":"365","author":"Wei","year":"2005","journal-title":"Lancet"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0010","series-title":"Review of Cancer medicines on the WHO list of essential medicines","article-title":"Nasopharyngeal carcinoma","author":"Union for International Cancer Control","year":"2014"},{"issue":"1","key":"10.1016\/j.clinimag.2020.11.029_bb0015","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s12105-007-0012-7","article-title":"Update on nasopharyngeal carcinoma","volume":"1","author":"Thompson","year":"2007","journal-title":"Head Neck Pathol"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0020","first-page":"171","article-title":"Epstein-Barr virus and nasopharyngeal carcinoma","author":"Young","year":"2014","journal-title":"Chin J Cancer"},{"issue":"10022","key":"10.1016\/j.clinimag.2020.11.029_bb0025","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/S0140-6736(15)00055-0","article-title":"Nasopharyngeal carcinoma","volume":"387","author":"Chua","year":"2016","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.clinimag.2020.11.029_bb0030","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/1750-1172-1-23","article-title":"Nasopharyngeal carcinoma","volume":"1","author":"Brennan","year":"2006","journal-title":"Orphanet J Rare Dis"},{"issue":"5","key":"10.1016\/j.clinimag.2020.11.029_bb0035","doi-asserted-by":"crossref","first-page":"406","DOI":"10.3747\/co.20.1456","article-title":"Recurrent nasopharyngeal carcinoma: a clinical dilemma and challenge","volume":"20","author":"Xu","year":"2013","journal-title":"Curr Oncol"},{"issue":"852","key":"10.1016\/j.clinimag.2020.11.029_bb0040","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.12809\/hkjr1414253","article-title":"Sneaking its way up: external auditory canal involvement by an otherwise inconspicuous nasopharyngeal carcinoma via spread through the Eustachian tube","author":"Lai","year":"2015","journal-title":"Hong Kong J Radiol"},{"issue":"2","key":"10.1016\/j.clinimag.2020.11.029_bb0045","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1001\/archotol.1973.00780020137016","article-title":"Middle ear extension of nasopharyngeal carcinoma via Eustachian tube: a temporal bone report","volume":"98","author":"Cundy","year":"1973","journal-title":"Arch Otolaryngol - Head Neck Surg"},{"issue":"5","key":"10.1016\/j.clinimag.2020.11.029_bb0050","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1016\/0360-3016(94)90306-9","article-title":"The effect of loco-regional control on distant metastatic dissemination in carcinoma of the nasopharynx: an analysis of 1301 patients","volume":"30","author":"Kwong","year":"1994","journal-title":"Int J Radiat Oncol"},{"issue":"06","key":"10.1016\/j.clinimag.2020.11.029_bb0055","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1017\/S0022215100144470","article-title":"Uncommon otological manifestations of nasopharyngeal carcinoma","volume":"113","author":"Low","year":"1999","journal-title":"J Laryngol Otol"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0060","series-title":"Carcinogenesis, diagnosis, and molecular targeted treatment for nasopharyngeal carcinoma","article-title":"Ear-related issues in patients with nasopharyngeal carcinoma","author":"Low","year":"2012"},{"issue":"4","key":"10.1016\/j.clinimag.2020.11.029_bb0065","first-page":"200","article-title":"Nasopharyngeal carcinoma spreading along the eustachian tube: the imaging appearance","volume":"67","author":"Yang","year":"2004","journal-title":"J Chin Med Assoc"},{"issue":"2","key":"10.1016\/j.clinimag.2020.11.029_bb0070","first-page":"268","article-title":"Middle ear recurrence in nasopharyngeal carcinoma: a case repor","volume":"7","author":"Korkut","year":"2011","journal-title":"Int Adv Otol"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0075","first-page":"45","article-title":"Nasopharyngeal carcinoma. A report of two cases with unusual extension","volume":"1","author":"Satar","year":"2001","journal-title":"Tukiye Klin J"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0080","first-page":"340","article-title":"Clinical analysis of 9 cases of nasopharyngeal carcinoma with external auditory canal neoplasma as first manifestation","volume":"9","author":"Wang","year":"2003","journal-title":"J Oncol"},{"issue":"2","key":"10.1016\/j.clinimag.2020.11.029_bb0085","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/S0194-5998(98)80032-6","article-title":"Middle ear recurrence in two patients with nasopharyngeal carcinoma","volume":"118","author":"Kwong","year":"1998","journal-title":"Otolaryngol Neck Surg"},{"issue":"2","key":"10.1016\/j.clinimag.2020.11.029_bb0090","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1177\/014556130208100214","article-title":"Facial palsy from metastatic nasopharyngeal carcinoma at various sites: three reports","volume":"81","author":"Low","year":"2002","journal-title":"Ear Nose Throat J"},{"issue":"10","key":"10.1016\/j.clinimag.2020.11.029_bb0095","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1002\/hed.21391","article-title":"Mastoid recurrence after radiotherapy for nasopharyngeal carcinoma: two case studies. Smith RB, ed","volume":"33","author":"Zhang","year":"2011","journal-title":"Head Neck"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0100","first-page":"58","article-title":"Recurrence of nasopharyngeal carcinoma in the mastoid region: therapeutic approach of a rare clinical entity","volume":"27","author":"Kefeli","year":"2014","journal-title":"Marmara Med J"},{"issue":"3","key":"10.1016\/j.clinimag.2020.11.029_bb0105","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1017\/S1460396918000067","article-title":"External auditory meatus involvement in nasopharyngeal carcinoma","volume":"17","author":"Lee","year":"2018","journal-title":"J Radiother Pract"},{"issue":"2","key":"10.1016\/j.clinimag.2020.11.029_bb0110","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/0360-3016(92)90741-Y","article-title":"Carcinoma of the nasopharynx: factors affecting prognosis","volume":"23","author":"Perez","year":"1992","journal-title":"Int J Radiat Oncol"},{"issue":"2","key":"10.1016\/j.clinimag.2020.11.029_bb0115","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/S0167-8140(99)00177-2","article-title":"Locally recurrent nasopharyngeal carcinoma","volume":"54","author":"Chang","year":"2000","journal-title":"Radiother Oncol"},{"issue":"4","key":"10.1016\/j.clinimag.2020.11.029_bb0120","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1016\/j.ijrobp.2004.07.702","article-title":"Treatment results for nasopharyngeal carcinoma in the modern era: the Hong Kong experience","volume":"61","author":"Lee","year":"2005","journal-title":"Int J Radiat Oncol"},{"issue":"5","key":"10.1016\/j.clinimag.2020.11.029_bb0125","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1016\/S0360-3016(97)00104-1","article-title":"Carcinoma of the nasopharynx treated by radiotherapy alone: determinants of local and regional control","volume":"37","author":"Sanguineti","year":"1997","journal-title":"Int J Radiat Oncol"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1100\/2012\/632910","article-title":"Clinical characteristics of recurrent nasopharyngeal carcinoma in high-incidence area","volume":"2012","author":"Li","year":"2012","journal-title":"Sci World J"},{"issue":"4","key":"10.1016\/j.clinimag.2020.11.029_bb0135","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1097\/00000421-199608000-00003","article-title":"Prognostic factors of locoregionally recurrent nasopharyngeal carcinoma\u2014a retrospective review of 182 cases","volume":"19","author":"Yang","year":"1996","journal-title":"Am J Clin Oncol"},{"issue":"4","key":"10.1016\/j.clinimag.2020.11.029_bb0140","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1159\/000055743","article-title":"Distant metastases from nasopharyngeal cancer","volume":"63","author":"Chiesa","year":"2001","journal-title":"ORL"},{"issue":"7","key":"10.1016\/j.clinimag.2020.11.029_bb0145","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1177\/000348949110000705","article-title":"Nasopharyngeal carcinoma: modes of presentation","volume":"100","author":"Skinner","year":"1991","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"4","key":"10.1016\/j.clinimag.2020.11.029_bb0150","first-page":"229","article-title":"Patterns of distant metastases in nasopharyngeal carcinoma","volume":"12","author":"Huang","year":"1996","journal-title":"Kaohsiung J Med Sci"},{"issue":"1","key":"10.1016\/j.clinimag.2020.11.029_bb0155","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0009-9260(78)80160-3","article-title":"Distant metastases in nasopharyngeal carcinoma","volume":"29","author":"Khor","year":"1978","journal-title":"Clin Radiol"},{"issue":"7","key":"10.1016\/j.clinimag.2020.11.029_bb0160","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1093\/annonc\/mdf179","article-title":"Nasopharyngeal carcinoma","volume":"13","author":"Chan","year":"2002","journal-title":"Ann Oncol"},{"issue":"15","key":"10.1016\/j.clinimag.2020.11.029_bb0165","doi-asserted-by":"crossref","first-page":"2121","DOI":"10.1016\/S0959-8049(03)00367-8","article-title":"Nasopharyngeal carcinomas","volume":"39","author":"Spano","year":"2003","journal-title":"Eur J Cancer"},{"issue":"8","key":"10.1016\/j.clinimag.2020.11.029_bb0170","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.tim.2004.06.005","article-title":"EBV-associated nasopharyngeal carcinomas: from epidemiology to virus-targeting strategies","volume":"12","author":"Busson","year":"2004","journal-title":"Trends Microbiol"},{"issue":"33","key":"10.1016\/j.clinimag.2020.11.029_bb0175","doi-asserted-by":"crossref","first-page":"5108","DOI":"10.1038\/sj.onc.1206556","article-title":"Epstein\u2013Barr virus and oncogenesis: from latent genes to tumours","volume":"22","author":"Young","year":"2003","journal-title":"Oncogene"},{"key":"10.1016\/j.clinimag.2020.11.029_bb0180","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1111\/j.1749-6632.2001.tb03865.x","article-title":"Quantitative analysis of Epstein-Barr virus DNA in plasma and serum: applications to tumor detection and monitoring","volume":"945","author":"Lo","year":"2001","journal-title":"Ann N Y Acad Sci"},{"issue":"21","key":"10.1016\/j.clinimag.2020.11.029_bb0185","first-page":"5452","article-title":"Quantitative and temporal correlation between circulating cell-free Epstein-Barr virus DNA and tumor recurrence in nasopharyngeal carcinoma","volume":"59","author":"Lo","year":"1999","journal-title":"Cancer Res"},{"issue":"1","key":"10.1016\/j.clinimag.2020.11.029_bb0190","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1186\/1471-2407-12-208","article-title":"Role of plasma EBV DNA levels in predicting recurrence of nasopharyngeal carcinoma in a western population","volume":"12","author":"Ferrari","year":"2012","journal-title":"BMC Cancer"},{"issue":"6","key":"10.1016\/j.clinimag.2020.11.029_bb0195","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1056\/NEJMoa1701717","article-title":"Analysis of plasma Epstein\u2013Barr virus DNA to screen for nasopharyngeal cancer","volume":"377","author":"Chan","year":"2017","journal-title":"N Engl J Med"},{"issue":"6","key":"10.1016\/j.clinimag.2020.11.029_bb0200","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.anl.2016.11.001","article-title":"Nasopharyngeal carcinoma with mastoid recurrence after concurrent chemoradiotherapy masquerading as acute otomastoiditis","volume":"44","author":"Hu","year":"2017","journal-title":"Auris Nasus Larynx"}],"container-title":["Clinical Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899707120304563?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0899707120304563?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T11:43:21Z","timestamp":1760269401000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0899707120304563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":40,"alternative-id":["S0899707120304563"],"URL":"https:\/\/doi.org\/10.1016\/j.clinimag.2020.11.029","relation":{},"ISSN":["0899-7071"],"issn-type":[{"type":"print","value":"0899-7071"}],"subject":[],"published":{"date-parts":[[2021,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Atypical metastasis of nasopharyngeal cancer: noncontiguous spread to the ipsilateral ear","name":"articletitle","label":"Article Title"},{"value":"Clinical Imaging","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clinimag.2020.11.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}