Nasopharyngeal cancer treatment and care

Nasopharyngeal cancer is otorhinolaryngology common malignancy. South China for high incidence areas to squamous cell carcinoma on top of the list. Age of onset in 30 ~ 50 years of age, male than female. Cause unknown, and the type of herpes virus (EBV) infection closely related, and may be related to genetic and environmental factors. Incidence common site for nasopharyngeal top pharyngeal wall and the recess. [Clinical] 1. Nasal symptoms of nasal obstruction not obvious early tumor is gradually increasing, there will be the progressive side or both sides of nasal obstruction. Back to suction blood in the nose for the early symptoms, and often in when. If violations of the late great vessels, there can be difficult to stop the bleeding. 2. Headache for the early symptoms can often indulge in side of the top occipital. Bone destruction of the skull base late cranial nerve, headache by drama. 3. Ear symptoms may be due to tumor suppression or violation of the eustachian tube pharyngeal mouth, caused unilateral card he otitis media. 4. Neck lymph node metastasis in patients with often aroused the attention of the main signs. Early can occur in the neck, the side of the sternocleidomastoid muscle in front of a painless mass of hard, and skin adhesion; then be extended to the ipsilateral carotid, the lymph nodes, and can be integrated, later the contralateral neck may appear late mass fixed, there can be a pain or distant metastasis. 5. Cranial nerve symptoms of osteoporosis or skull base tumors destroyed by the rupture of intracranial-invasive, first appeared outreach nerve violations, not affected eyeball outreach and diplopia, and then involving other cranial nerves, caused by the various cranial nerves damage symptoms. On a neck mass, blood in the back suction T, the top side of occipital headache trend and there is growing heavier, should carefully check the nasopharynx. Often nasopharyngeal top pharyngeal wall or cauliflower-like crypts to see, granulation biological or irregular-shaped by the ulcer. While submucosal type showed that local surface normal uplift. CLP examination to nasopharyngeal tumors clearly visible. Nasopharyngeal by optical fiber-to radiography and more accurate biopsy, the diagnosis even more useful. X-ray plain film can show that the skull base tumors on the cranial base bone destruction, nasopharyngeal contrast radiography and CT scan can show that the smaller the nasopharyngeal cancer. Nasopharyngeal live pathological examination in the diagnosis of decisive significance to the suspicious should repeatedly. [Diagnosis] Because early symptoms not obvious, and the location of hidden nasopharynx, inspection difficult, particularly submucosal invasion type, early diagnosis and it is not easy. So the patients clinically suspicious, if returned to suction blood in the nose, headache side of the neck of the mass of middle-aged and older patients, we must repeatedly check for early diagnosis. [Treatment] Early treatment, the effect better. Radiation therapy for the treatment of nasopharyngeal carcinoma currently the main method of cobalt 60 radiation therapy is superior to the deep X-ray irradiation can be used intracavity laser treatment. Chemotherapy can be used with radiation therapy, or for advanced a distant metastasis or recurrence after radiotherapy for patients with palliative care. Commonly used drugs cyclophosphamide, bleomycin, 5 - 5-fluorouracil, and so on. Chinese Fu Shan Chinese medicine treatment of Hebei Tumor Hospital developed "Fu Shan God" series of tumor suppressor agents to improve symptoms, enhance physical fitness, radiotherapy and chemotherapy to reduce response good role. [Nursing] 1. Psychological care to patients and their families the comfort and explanation work, care for, considerate patients meet their reasonable requirements to enable patients to cope with the psychological state of good radiotherapy and chemotherapy treatment. 2. Introduced radiotherapy and chemotherapy-related knowledge and information, told his adherence to treatment, reducing recurrence opportunities. 3. Strengthen nutrition, providing every high-protein, high-calorie, high-vitamin, easy to digest less residue diet, in order to increase the radiotherapy and chemotherapy for tolerance.