What are the early symptoms of nasopharyngeal carcinoma and how to check them

What are the early symptoms of nasopharyngeal carcinoma and how to check them

Nasopharyngeal carcinoma is a disturbing disease. Patients should go to a regular hospital for detailed treatment, which is conducive to the good development of the disease. It is very important to stay optimistic. The author will help treat what are the early symptoms of nasopharyngeal carcinoma? How to query?

Early symptoms of nasopharyngeal cancer

1. There are blood in the nose: especially in the morning when you inhale blood from your nasal cavity, this bloody nasal discharge should be taken seriously.

2. Tinnitus, stuffy ears, and hearing loss: The tumor grows on the side wall of the nasopharynx or the opening of the Eustachian tube, causing unilateral tinnitus, stuffy ears, or hearing loss.

3. Nasal congestion: The tumor grows larger and blocks the posterior nostril, causing nasal congestion on one or both sides.

4. Menstrual lumps: painless cervical lymphadenopathy behind one ear, which is ineffective with conventional anti-inflammatory treatment.

5. Headache: Nasopharyngeal carcinoma invades the bones, nerves, and blood vessels within the skull, causing persistent, intractable headaches that gradually worsen and are ineffective against oral analgesics.

6. Cranial nerve symptoms: Tumor invades the skull, eyeball movement is limited, cannot be abducted, facial numbness, diplopia, drooping eyelids, poor swallowing, hoarseness, choking on drinking water, etc. Advanced nasopharyngeal carcinoma can metastasize to the brain, bones, liver, lungs, etc., with common symptoms such as headache, bloody sputum, fixed bone pain, and hepatomegaly.

How to check?

1. Anterior rhinoscopy After the nasal mucosa is converged, the anterior rhinoscopy can glimpse the posterior nasal cavity and nasopharynx to detect cancer that has invaded or invaded the adjacent nostrils.

2. Indirect nasopharyngeal endoscopy is simple and practical. Each wall of the nasopharynx should be examined in turn, with attention paid to the posterior wall of the nasopharyngeal roof and the pharyngeal recesses on both sides. The corresponding parts on both sides should be compared and observed. Any asymmetric submucosal protrusions or isolated nodules on both sides should be paid more attention.

3. Fiberoptic nasopharyngoscopy During fiberoptic nasopharyngoscopy, 1% ephedrine solution can be used to astringe the nasal mucosa and dilate the nasal passages. Then 1% dicaine solution is used to anesthetize the nasal passages. Then the fiberscope is inserted from the nasal cavity and pushed forward while observing until the nasopharyngeal cavity. This method is simple and the mirror is fixed, but the observation of the posterior nasal cavity and the anterior wall is not satisfactory.

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