Can nasopharyngeal carcinoma patients eat durian?

Written by Li Rui
Otolaryngology
Updated on January 02, 2025
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Patients with nasopharyngeal carcinoma can eat durian, which is a common fruit. Durian has no side effects on the condition of nasopharyngeal carcinoma and does not affect the treatment efficacy. For patients with nasopharyngeal carcinoma, it is recommended to have a light diet, consume high-protein and low-fat foods, and eat more vegetables and fruits. In terms of treatment, radiation therapy is commonly used at present. Some patients may also need to combine chemotherapy. During the treatment process, regular check-ups are necessary to observe the recovery of the condition. If it is an early-stage lesion, the treatment effect is relatively good. If it is a mid-to-late stage lesion, the overall treatment is more challenging, and the effects may also be poorer.

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

Nasopharyngeal carcinoma is a relatively common type of malignant tumor in the head and neck area. Peaches can be eaten; they are a common type of fruit containing rich vitamins, and they have no direct side effects on the condition of nasopharyngeal carcinoma, nor do they affect the treatment efficacy. They also do not directly conflict with any medications or treatment plans related to nasopharyngeal carcinoma. Therefore, it is normal to consume peaches. For patients with nasopharyngeal carcinoma, it is advised that their diet should be high in protein and low in fat, with balanced and reasonable nutrition to ensure adequate energy supply and enhanced immunity, which can help with the treatment of the condition.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Can nasopharyngeal carcinoma be treated with surgery?

Nasopharyngeal cancer is a malignant tumor in the nasopharynx, which is mainly found in coastal and Guangdong areas, and is more common among Mongoloid races. The treatment methods for nasopharyngeal cancer include radiotherapy, chemotherapy, and combined chemoradiotherapy. If the tumor does not disappear after combined chemoradiotherapy and is insensitive to drugs, surgery can be considered. Surgery is not the first-line treatment option for nasopharyngeal cancer; the first-choice treatments are radiotherapy and combined chemoradiotherapy, which are very effective and have a high five-year survival rate. If the cancer is insensitive to radiation and drugs, surgical treatment can be an option in such cases.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Causes of Nasopharyngeal Carcinoma

Nasopharyngeal carcinoma is a highly prevalent malignant tumor in China, especially common in the Guangdong and Guangxi regions, as well as other coastal areas including Hunan, Fujian, and Jiangxi. These regions are among the highest incidence areas for nasopharyngeal carcinoma worldwide. The incidence rate in males is three times that of females, with the age group of 40 to 50 years being particularly at risk. The occurrence of nasopharyngeal carcinoma is associated with genetic, viral, and environmental factors, exhibiting racial and familial patterns. In areas like Guangzhou and the Pearl River Delta, it is possible for five out of nine people in the same family to have nasopharyngeal carcinoma. Infection with the Epstein-Barr virus is also one of the causes of nasopharyngeal carcinoma, in addition to environmental factors. Areas with low trace elements in rice and water, as well as low fluoride levels, are prone to higher incidences of this cancer. Patients with nasopharyngeal carcinoma typically have higher fluoride levels in their hair, and nitrites are also one of the major contributing factors to the condition.

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Written by Cui Fang Bo
Oncology
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What should I do if nasopharyngeal carcinoma causes vomiting?

Patients with nasopharyngeal carcinoma who exhibit vomiting should first determine the cause of the vomiting. For instance, if vomiting is due to the gastrointestinal reactions caused by radiotherapy and chemotherapy, medications such as serotonin receptor antagonists, corticosteroids, and NK-1 receptor blockers should be used to alleviate the side effects of the treatment. Additionally, nasopharyngeal carcinoma patients might experience projectile vomiting due to brain metastasis, which results in increased intracranial pressure. It is essential first to confirm the presence of brain metastasis through CT and MRI scans of the head. If brain metastasis is confirmed, localized treatment such as radiotherapy should be administered. Medications like mannitol and glycerol fructose should be used concurrently to reduce intracranial pressure and relieve the projectile vomiting. (Please use medications under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Nasopharyngeal carcinoma clinical manifestations

Nasopharyngeal carcinoma is the most common malignant tumor in the nasopharyngeal area, and clinically, it is primarily squamous cell carcinoma. The incidence of nasopharyngeal carcinoma is particularly high in the southern regions of China, especially in Guangdong. Initially, nasopharyngeal carcinoma manifests locally as a tumorous mass in the nasopharyngeal area, often with ulceration on the surface. This can lead to the presence of blood in nasal mucus, known as bloody nasal discharge. As the disease progresses, there can be swelling of the cervical lymph nodes, primarily involving the upper deep cervical lymph nodes, with about 60% of patients experiencing this type of lymph node enlargement. As the tumor enlarges, it may block the nasal passage, leading to persistent nasal congestion. The tumor's pressure on the Eustachian tube can cause symptoms of secretory otitis media. Furthermore, damage to the skull base by the tumor can lead to severe headaches. As a malignant tumor, the cancer can cause systemic symptoms such as malnutrition and cachexia. In advanced stages, metastatic symptoms may appear, such as bone and liver metastases, affecting these vital organs.