DIAGNOSIS
The doctor and nurse will examine the neck. A lump in the neck is common to those who have nasopharyngeal cancer. This cancer can also attack the lymph nodes.
For better viewing of the nasopharynx, a flexible lighted tube may be placed through the mouth in a process called nasopharyngoscopy. It checks the area for abnormal growth, bleeding and any other problems. A biopsy is recommended if the exam is abnormal. A microscope is used to acquire a small amount of tissue.
Nasopharyngoscopy can also include a biopsy. The biopsy may be done by placing a very thin hollow tube if ever a lump in the neck is detected.
To determine if it is spreading, imaging tests can help. This is through:
- Chest r-ray
- CT scan
- MRI
- Ultrasound of the neck
The following tests may also be included:
- Complete blood count (CBC) and other blood tests
- EBV testing
A person diagnosed will undergo a procedure and it is called “Staging”. Staging is a process that will determine the spread of cancer if you are diagnosed with nasopharyngeal cancer. It consists of stages 0-5, the lower being the less serious stage.
Carcinoma in situ or we calls it Stage 0.
Cancer that has not spread to lymph nodes or more nearly is Stage I nasopharyngeal cancer.
Cancer that may have spread to nearby tissues and lymph nodes but has not spread to distant parts of the body is a Stage II nasopharyngeal cancer
Tumor size and extent of spreading to nearby tissues, lymph nodes, and/or distant parts of the body staging to III and IV are considered more advanced.
The return of nasopharyngeal cancer is called recurrent cancer.
TREATMENT
Regular follow-up check-ups with a medical team must be done if you are diagnosed after treatment is done.
Treatment may vary in things like:
- Location of the tumor
- Stage of the tumor
- Your overall health
Treatments may include:
- Radiation therapy
- Chemotherapy
- Surgery
- Biologic drugs such as cetuximab, pembrolizumab, and nivolumab
- Palliative therapy