Dr Ronald Chins Perspective on Malignant Tumours of the Nasopharynx: A Specialist’s Guide
What Are Malignant Tumours of the Nasopharynx?
Nasopharyngeal carcinoma (NPC) is a rare cancer affecting the upper part of the throat behind the nose. It is more common in Southeast Asia, North Africa, and Indigenous populations, and is strongly linked to the Epstein-Barr virus (EBV).
Key Symptoms:
- Persistent nasal congestion or nosebleeds
- Lump in the neck (often a swollen lymph node)
- Unilateral hearing loss or ear fullness
- Frequent ear infections in adults
- Headaches or facial numbness
Risk Factors:
- EBV infection
- High intake of salted or preserved foods
- Family history of NPC
- Smoking and alcohol
Diagnosis & Treatment:
Diagnosis involves nasendoscopy, imaging (CT/MRI), biopsy, and EBV testing. Treatment typically includes radiotherapy, often combined with chemotherapy. Surgery is rare but may be used in recurrent cases.
Why Early Detection Matters:
Early-stage NPC has an excellent prognosis, with 5-year survival rates over 80%. Persistent ENT symptoms should be assessed by an ENT specialist promptly.