What are the symptoms of late-stage nasopharyngeal carcinoma?

Written by Deng Bang Yu
Otolaryngology
Updated on September 08, 2024
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Nasopharyngeal cancer is a common malignancy in otolaryngology, primarily located in the nasopharyngeal area. In advanced stages, nasopharyngeal cancer manifests symptoms in two main aspects. One involves symptoms directly caused by the cancer or its metastasis, typically presenting as increased nasal masses, enlarged cervical lymph nodes, severe headaches, decreased hearing, and bleeding in the nasal area due to tumor cells or tissue eroding the internal carotid artery. Additionally, there is a foul smell from the nasopharyngeal area. The second aspect relates to systemic symptoms due to the growth of nasopharyngeal cancer, leading to poor overall nutritional status and cachexia, characterized by extreme emaciation. There is also the potential for distant metastasis of the tumor cells, presenting symptoms in the corresponding areas.

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Written by Li Rui
Otolaryngology
56sec home-news-image

Where is the best place to treat nasopharyngeal carcinoma?

Nasopharyngeal carcinoma currently mainly considers radiation therapy and chemotherapy, with radiation therapy as the primary treatment. It requires staging and typing based on different ranges of lesions and pathological biopsy types. After determining the stage and type, further radiation and chemotherapy plans can be established. At present, radiation therapy is the most important. Most patients need concurrent chemotherapy or adjuvant chemotherapy and require regular follow-ups. For some patients with cervical lymph node metastasis or recurrence of nasopharyngeal carcinoma after radiation therapy, who cannot undergo radiation or chemotherapy again or for whom radiation and chemotherapy have failed, surgery may be considered. However, surgery is generally not the first choice and its effectiveness is not particularly certain.

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Written by Deng Bang Yu
Otolaryngology
59sec home-news-image

What are the symptoms of late-stage nasopharyngeal carcinoma?

Nasopharyngeal cancer is a common malignancy in otolaryngology, primarily located in the nasopharyngeal area. In advanced stages, nasopharyngeal cancer manifests symptoms in two main aspects. One involves symptoms directly caused by the cancer or its metastasis, typically presenting as increased nasal masses, enlarged cervical lymph nodes, severe headaches, decreased hearing, and bleeding in the nasal area due to tumor cells or tissue eroding the internal carotid artery. Additionally, there is a foul smell from the nasopharyngeal area. The second aspect relates to systemic symptoms due to the growth of nasopharyngeal cancer, leading to poor overall nutritional status and cachexia, characterized by extreme emaciation. There is also the potential for distant metastasis of the tumor cells, presenting symptoms in the corresponding areas.

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Written by Yan Chun
Oncology
1min 7sec home-news-image

What causes nasopharyngeal carcinoma?

The specific cause of nasopharyngeal carcinoma, a type of malignant tumor, is currently unclear, but it is considered to be related to some high-risk factors that may lead to the occurrence of nasopharyngeal cancer. Firstly, there are cases of EB virus infections in the nasopharyngeal area. The long-term stimulation of the nasopharyngeal mucosa by this virus leads to hyperplasia of the mucosa, which can become malignant and eventually form nasopharyngeal cancer. Additionally, some clinical studies suggest that the occurrence of nasopharyngeal carcinoma is related to genetic factors, indicating a genetic predisposition to nasopharyngeal carcinoma, which leads to its development. Furthermore, some considerations involve external carcinogenic factors affecting the nasopharyngeal area, such as long-term smoking or environmental air pollution, which can also lead to a high incidence of nasopharyngeal cancer.

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Written by Li Rui
Otolaryngology
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Can patients with nasopharyngeal carcinoma eat zongzi?

Patients with nasopharyngeal carcinoma can eat rice dumplings, which are a common food mainly made from glutinous rice. Eating rice dumplings does not have side effects on the condition of nasopharyngeal carcinoma nor does it affect the treatment outcomes, so patients can eat them normally. Patients with nasopharyngeal carcinoma should seek medical attention in the oncology department as soon as they are diagnosed, and consider undergoing radiation therapy, with some needing to combine it with chemotherapy. After treatment, regular long-term check-ups are necessary, as some patients may experience local recurrence or distant metastasis, which requires timely subsequent targeted therapy.

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Written by Li Rui
Otolaryngology
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Can nasopharyngeal cancer be cured?

Nasopharyngeal carcinoma is a relatively common type of head and neck malignant tumor. Currently, radiation therapy is commonly used for treatment. Depending on the severity of the patient's condition, some patients may also need to combine chemotherapy. The specific treatment effectiveness varies from individual to individual, and some patients can achieve clinical cure. For early-stage nasopharyngeal carcinoma, the treatment effectiveness is relatively good, and the clinical cure rate is comparatively high. For mid to late-stage nasopharyngeal carcinoma, the treatment becomes more challenging, and the treatment effectiveness is relatively poorer. After treatment, regular check-ups are required to monitor the recovery of the condition. If no recurrence or distant metastasis is found five years after treatment, the patient is considered clinically cured.