How to treat nasopharyngeal carcinoma lymph node metastasis

Treatments for nasopharyngeal carcinoma lymph node metastasis include radiotherapy, chemotherapy, and targeted therapy, and the specific plan should be formulated according to the patient's condition. Early detection and comprehensive treatment are the key to improving efficacy.

1. Radiation therapy

Radiotherapy is the first choice for nasopharyngeal carcinoma lymph node metastasis, especially for local lymph node metastasis. High-energy rays kill cancer cells and control tumor growth. Intensity modulated radiation therapy (IMRT) is a commonly used technology that can accurately locate the tumor area and reduce damage to surrounding normal tissues. Radiotherapy usually needs to be continued for 5-7 weeks, and the specific course of treatment is determined by the doctor based on the condition.

2. Chemotherapy

Chemotherapy uses drugs to inhibit the proliferation of cancer cells and is often used for patients with advanced nasopharyngeal carcinoma with lymph node metastasis. Commonly used chemotherapy drugs include cisplatin, 5-fluorouracil and docetaxel. Chemotherapy can be used alone or in combination with radiotherapy to improve the efficacy. The side effects of chemotherapy include nausea, hair loss and decreased immunity, which need to be treated symptomatically under the guidance of a doctor.

3. Targeted therapy

Targeted therapy is a new treatment method that inhibits tumor growth by specifically acting on molecular targets on the surface of cancer cells. For nasopharyngeal carcinoma lymph node metastasis, commonly used targeted drugs include cetuximab and nimotuzumab. Targeted therapy has relatively few side effects, but the cost is high, and it needs to be selected according to the patient's financial conditions and condition.

4. Surgical treatment

For some patients with local lymph node metastasis, surgical resection may be an option. Surgery is usually combined with radiation therapy or chemotherapy to completely eliminate cancer cells. Surgery includes neck lymph node dissection, and close monitoring for recurrence is required after surgery.

5. Comprehensive treatment and rehabilitation

The treatment of nasopharyngeal carcinoma lymph node metastasis requires multidisciplinary collaboration and the development of a personalized plan. During treatment, patients need to pay attention to nutritional support and consume more high-protein, high-vitamin foods, such as eggs, fish, and fresh vegetables. Moderate exercise such as walking and Tai Chi can help strengthen the body. Regular follow-up after treatment to monitor changes in the condition and detect recurrence or metastasis in a timely manner.

The treatment of nasopharyngeal carcinoma lymph node metastasis requires a personalized plan based on the patient's specific situation. Early detection and comprehensive treatment are the key to improving the efficacy. Patients should actively cooperate with doctors in treatment, pay attention to nutrition and rehabilitation, and have regular checkups to monitor changes in their condition.