Conventional methods of Western medicine in treating nasopharyngeal carcinoma

Conventional methods of Western medicine for treating nasopharyngeal carcinoma:

1. Indications for radiotherapy of nasopharyngeal carcinoma

1. Indications for radical radiotherapy:

Patients with above-average general condition; no obvious bone destruction at the skull base; no or only mild to moderate paranasopharyngeal infiltration on CT or MRI; the maximum diameter of cervical lymph nodes is less than 8 cm, and lymph node activity has not yet reached the clavicular fossa; and no distant organ metastasis.

2. Indications for palliative radiotherapy:

KS 60 points or more; severe headache, moderate or more nasopharyngeal bleeding; single distant metastasis or cervical lymph node metastasis greater than 10 cm. After palliative radiation, if the general condition improves, symptoms disappear, and distant metastases can be controlled, radical radiation therapy can be used.

Contraindications of radiotherapy for nasopharyngeal carcinoma

KS score less than 60 points; patients with extensive distant metastasis; patients with concurrent acute infection; patients with radiation-induced brain and spinal cord injury; the principle of re-radiotherapy for recurrence after radiotherapy.

Radiotherapy is not allowed for those who have the following conditions: recurrence time after radiotherapy in the same target area, including nasopharyngeal and cervical target areas, is less than one year; radiation encephalopathy or radiation myelopathy after radiotherapy; the total treatment course for the nasopharyngeal target area shall not exceed three courses, and the total treatment course for the cervical target area shall not exceed two courses.