Early symptoms of nasopharyngeal carcinoma

Written by Li Rui
Otolaryngology
Updated on September 24, 2024
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The symptoms of nasal cancer can be numerous. In the early stages, symptoms might not be apparent because the area affected is relatively small, which can make the symptoms unclear. Possible symptoms include bloody nasal discharge and poor nasal airflow. Some patients might experience a foreign body sensation in the nasopharyngeal area. The most important thing, however, is to use diagnostic aids to make an assessment. This can include a nasopharyngoscopy, an enhanced CT of the nasopharynx, or an enhanced MRI to preliminarily determine the presence of a tumor. If a tumor is suspected, it is possible to consider performing a biopsy and lab tests under endoscopy. Only after completing the biopsy and lab tests can it be confirmed whether it is nasopharyngeal cancer, and then further treatment plans can be considered.

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Can nasopharyngeal carcinoma patients eat durian?

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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What is nasopharyngeal carcinoma?

Nasopharyngeal carcinoma is a relatively common malignant tumor in the nasopharyngeal area, and the main pathological type is predominantly squamous carcinoma, most of which are poorly differentiated squamous carcinomas, constituting the most common malignant tumor in the nasopharyngeal area. Currently, the primary treatment option is radiotherapy, which is the most important; some patients may need to consider concurrent or adjuvant chemotherapy. If drug and radiotherapy treatments are ineffective, or if there is cervical lymph node metastasis, and for some patients where chemoradiotherapy fails with residual lesions, surgery may be considered. However, currently, the surgical treatment approach is generally not very mature and is somewhat controversial, thus it requires treatment at major hospitals.

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How should nasopharyngeal carcinoma be examined?

Nasopharyngeal carcinoma is a relatively common otolaryngological disease and is also considered as one of the common head and neck malignant tumors. For diagnosis, an initial examination that can be conducted is nasopharyngoscopy. Through nasopharyngeal endoscopy, most patients can see changes in the nasopharynx due to new growths, which suggests considering a pathological biopsy test. This helps in obtaining a pathological diagnosis and allows for analysis and typing of the pathology. At the same time, imaging exams are necessary, with nasopharyngeal CT or MRI being commonly used. Additionally, it is recommended to test for the Epstein-Barr virus, as some patients’ condition could be a result of a long-term infection with this virus.

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Written by Zhang Jun
Otolaryngology
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Symptoms of nasopharyngeal carcinoma

Nasopharyngeal carcinoma is a malignant tumor that occurs in the nasopharyngeal area. Typically, nasopharyngeal carcinoma often occurs at the top of the nasopharynx and on the lateral walls of the rhinitis. In the early stages, patients may experience nasal congestion, a runny nose, and upon waking, they might have yellow or bloody discharge. In severe cases, the patient may also experience symptoms such as hearing loss, tinnitus, and ear fullness. If a patient exhibits the aforementioned symptoms, they should first visit a hospital for an electronic nasopharyngoscopy. This can reveal the presence of cauliflower-like neoplasms or ulcers in any part of the nasopharynx. If such findings are observed, a local pathology biopsy is needed. If it is confirmed to be a malignant tumor of the nasopharynx, relevant radiotherapy and chemotherapy treatments are required. Additionally, the patient should also undergo regular systemic examinations to check for distant metastases.

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Written by Li Rui
Otolaryngology
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How is nasopharyngeal carcinoma diagnosed?

The examination of nasopharyngeal carcinoma is mainly divided into two major categories. The first category is imaging examinations, and the second category is pathological biopsy tests. Imaging examinations primarily involve performing a CT or MRI of the nasopharyngeal area to determine the scope of the cancerous changes in the nasopharynx, which is quite helpful for clinical staging and typing. It also plays a role in designing targeted therapy for subsequent radiation treatment. Pathological testing is an important means for diagnosing nasopharyngeal carcinoma. Generally, it requires a nasopharyngoscopy. If cancerous changes are suspected during the nasopharyngoscopy, a pathological biopsy can be taken simultaneously. After the biopsy, the specific differentiation degree and type of cancer can be determined. Then, in conjunction with the imaging examinations, a plan for radiotherapy and chemotherapy can be formulated.