Figure 1. a–b: Giant nasopharyngeal carcinoma involving the anterior skull base, frontal sinuses, ethmoidal bone, right sphenoidal sinus, right orbit and optic nerve, nasal cavities and right maxillary sinus. c–d: Post-operative findings showing the removal of the intracranial part of the tumor, the decompression of the right orbit and optic nerve and the debulking of the intranasal and maxillary parts. e: On histological examination, the tumour proved to be a squamous cell nasopharyngeal carcinoma (low and high magnification).