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The main symptoms of nasopharyngeal carcinoma include cervical lymphadenopathy and epistaxis, nasal congestion, headache, tinnitus, deafness, aspirating blood discharge, drooping eyelids, facial paralysis, dysphagia, swallowing regurgitation and a variety of cranial nerve damage. There are many clinical symptoms related to nasopharyngeal cancer, but if one of the following symptoms appears, you should be alert to the possibility of nasopharyngeal cancer.
Recent occurrence of unexplained tinnitus, ear tightness, earache or deafness, especially in one ear, and the above symptoms progress rapidly, generally ineffective.
Recent appearance of a neck mass, especially a deep mass, that grows rapidly, is fused and fixed, has an unsmooth surface, is mildly tender, and does not respond to inflammation or tuberculosis**.
Recently, he suffered unilaterally with catarrhal otitis media, especially a large amount of fluid in the middle ear cavity, and after timely and reasonable **, there was no obvious improvement, and the symptoms continued to worsen.
Recent nasal congestion, bloody nasal discharge, especially in the morning after suctioning bright red bloody discharge or hemoptysis, generally ineffective.
Recently, unexplained persistent, intractable headache on one side that progressively worsened and was ineffective with oral analgesics.
Recent cranial neuropathy of unknown origin is manifested by limited eye movement, inability to abduct, headache, poor swallowing, hoarseness, coughing and choking, and weakness in shoulder lifting.
Recent onset of symptoms such as monocular discomfort, lacrimation, eye ache, vision loss, diplopia, outward and upward displacement of the eyeball, and proptosis that are not caused by a local lesion.
Recently, he suffered from polymyositis or dermatomyositis, with symptoms such as inconvenience in raising his head, difficulty in swallowing, and indifferent expression, and clinical manifestations mainly of facial muscles, anterior and posterior neck muscles, and throat muscles.
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Oncology** Guidance Clinic Tips You 1Nosebleeds: It is one of the early symptoms of nasopharyngeal cancer, usually a small amount of nasal discharge blowing out of one nostril, or entrainment of blood.
Most patients retract from the nasal cavity backward and suck out a bloody amount of mucus and spit it out of the oropharynx, which is a "pharyngeal" epistaxis, resulting in missed diagnosis and misdiagnosis. Late-stage cancer erodes blood vessels and can cause massive bleeding. 2.
Nasal congestion: unilateral nasal congestion occurs due to tumor occlusion of the posterior nostrils, and in advanced stages, both sides of the nasal congestion occur due to tumor enlargement. 3.
Tinnitus, hearing loss: tumors obstruct or compress the pharyngeal opening of the Eustachian tube, causing ipsilateral tinnitus, aural tightness, and hearing loss, or accompanied by tympanic effusion. 4.
Headache: often caused by tumor destroying the base of the skull, spreading within the skull, or involving cranial nerves. In the later stages, persistent, severe headaches that are fixed in the area are easily mistaken for neuralgia.
5.Neck mass: According to statistics, the metastasis rate of nasopharyngeal carcinoma in the neck is 40% to 85%, and about half of the patients present with a neck mass.
Because the nasopharynx is rich in lymphoid tissue, cancer cells can easily metastasize from lymph to the upper group of deep cervical lymph nodes, and can also develop to the middle, lower or posterior groups later, and can develop to the contralateral side. The number of metastatic masses in the neck of nasopharyngeal carcinoma is small, the size is rapid, the texture is hard and non-tender, the mobility is poor, and the advanced stage is fixed due to adhesion and fusion. 6.
Cranial nerve symptoms: The tumor spreads to the cranial area through the rupture hole, often invading the cranial nerve first, and in addition to headache, facial numbness, diplopia, blurred vision, drooping eyelids, strabismus, and even eye fixation or blindness. Metastatic lymph nodes deep in the neck may also compress the posterior cranial nerves that penetrate the base of the skull, resulting in hypoesthesia in the throat, paralysis of the soft palate, dysphagia, hoarseness, and tongue protrusion.
We recommend you to Beijing Tumor ** Guidance Clinic Assembled, Professor Park Bingkui and Professor Lin Hongsheng of Guang'anmen Hospital, Professor Yu Rencun, Professor Hu Yufang, Professor Wang Yutang of Beijing Hospital of Traditional Chinese Medicine, Professor Li Peiwen and Professor Zhang Daizhao of China-Japan Friendship Hospital, Professor Wang Pei of Beijing University of Chinese Medicine East Hospital! If you have any questions, you can always contact me.
Thank you for the trouble to adopt!
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The early clinical manifestations of nasopharyngeal carcinoma are mainly bloody nasal discharge, swollen cervical lymph nodes, unilateral ear tightness, and secretory otitis media. Some patients with nasopharyngeal carcinoma will present with a unilateral headache. Nasopharyngeal carcinoma refers to the malignant tumor that occurs on the top and side wall of the nasopharyngeal cavity, and is one of the most common malignant tumors in China, with the highest incidence of otolaryngology malignant tumors. Common clinical symptoms of nasopharyngeal carcinoma include nasal congestion, blood in the mucus, ear congestion, hearing loss, diplopia and headache.
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