What are the symptoms of stage 4 nasopharyngeal carcinoma

What are the symptoms of stage IV nasopharyngeal carcinoma? Nasopharyngeal carcinoma is the most common malignant tumor. Middle-aged people are at high risk of nasopharyngeal carcinoma. Nasopharyngeal carcinoma causes great harm to patients. The early symptoms are not very obvious, so it is easy to miss the expert treatment time. Below, I will introduce the symptoms of nasopharyngeal carcinoma to help patients better understand nasopharyngeal carcinoma.

What are the symptoms of stage 4 nasopharyngeal carcinoma?

1. Eye symptoms: When nasopharyngeal carcinoma invades the eye socket or nerves related to the eyeball, visual impairment, exophthalmos, diplopia, and restricted eye movement may occur.

2. Ptosis and fixed eyeballs: related to oculomotor nerve damage. Visual impairment or loss is related to optic nerve damage or orbital cone invasion. Hoarseness and dysphagia are related to vagus nerve and glossopharyngeal nerve damage.

3. Nasal congestion: The tumor invades the posterior nares and nasal cavity, which may cause obvious nasal congestion symptoms.

4. Bloody discharge or nasal obstruction: Since the tumor blood vessels in the nasopharyngeal cavity are relatively fragile, the surface of the tumor is often covered with numerous membranes, so there is a symptom of bloody discharge, which is one of the early symptoms of nasopharyngeal carcinoma. In severe cases, a large amount of nasal obstruction may occur. Bloody discharge often occurs in the morning after getting up, and bloody discharge from the mouth is discharged. The amount of blood is not much, and it is often neglected by patients or mistaken for hemoptysis. Respiratory department diagnosis and treatment, this symptom is more common in patients with ulcers or cauliflower-shaped cancer lesions.

5. Tongue muscle atrophy and tongue deviation: Direct invasion or lymph node metastasis of nasopharyngeal carcinoma to the posterior styloid process or hypoglossal nerve canal causes the hypoglossal nerve to be invaded, causing the tongue to deviate to the affected side, accompanied by tongue muscle atrophy on the affected side. If the bilateral hypoglossal nerves are damaged, it will cause difficulty in tongue extension. The incidence of tongue deviation is second only to facial anesthesia.

6. Headache: The most common symptom of nasopharyngeal cancer, often manifested as unilateral persistent pain, mostly located on the top of the face.

7. Diplopia: Due to the invasion of the abducens nerve by the tumor, double vision is often seen when looking outward. The invasion of the trochlear nerve often causes inward strabismus and diplopia. It is often damaged at the same time as the trigeminal nerve.

8. Tinnitus and hearing loss: caused by tumor infiltration and compression of the Eustachian tube, resulting in negative pressure in the tympanic cavity.

9. Facial numbness: refers to numbness of the facial skin. Clinical examination shows decreased or absent pain and tactile sensation. Tumor invasion of the cavernous sinus often causes damage to the first or second branch of the trigeminal nerve; tumor invasion of the oval foramen, the anterior area of ​​the styloid process, and the third branch of the trigeminal nerve often causes numbness or paresthesia of the skin in the front of the auricle, temporal region, cheek, lower lip, and chin.

The above is an introduction to the symptoms of stage 4 nasopharyngeal carcinoma. I hope the above introduction can be helpful to everyone. I wish the patients a speedy recovery.