Because of the poorly differentiated pattern on histologic analysis, elevated serum AFP, and case reports indicating that cisplatin-based treatment showed some efficacy for treating NMC [5], we decided to start chemotherapy with BEP regimen (bleomycin 30 kU on days 1, 8, and 15; etoposide, 100 mg/m2 on days 1–5; and cisplatin, 20 mg/m2 on days 1–5; given every 21 days). Here, AFP is linked to nut midline carcinoma.