Metastatic choniocarcinoma of the nasal cavity-presenting as intractable expistaxis.

There are numerous known causes of epistaxis Neoplasms of the nose and paranasal Sinuses as causes of epistaxis are rare Choriocarcinoma is a highly malignant germ cell tumor occurring in the reproductive and midline regions of the body Metastasis may be principally by the lymphatic route as in other germ cell tumors but chonocarcinoma is known for Us propensity to spread haematogenously We report a rare case of metastatic chonocarcinoma of the nasal cavity presenting with intractable epistaxis in a 32 year old African gentleman which rapidly proved fatal The literature is briefly reviewed.