HomeAnswersRadiation Oncologynasopharyngeal cancerWill excision biopsy remove the nodal metastasis in nasopharyngeal carcinoma?

Can excision biopsy remove the nodal metastasis in nasopharyngeal carcinoma?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 5, 2023
Reviewed AtDecember 5, 2023

Patient's Query

Hi doctor,

My son was recently diagnosed with nasopharyngeal carcinoma stage 3. He had undergone 35 sessions of IMRT as well as six sessions of chemotherapy. Three more sessions of chemotherapy have been prescribed and the first one was completed last week. Two more to go in three weeks time. Recently his treating doctor found more lymph nodes in his jugular and submandibular regions. FNAC reported a highly suspicious deposit from a malignant carcinoma and excised biopsy was recommended. Is it safe to perform the biopsy? Will all the lymph nodes be removed during the operation? Patient is underweight and not eating well, will anaesthesia be performed in such cases? Will IMRT be required again and is that even possible to do it again? What are the options?

Hi,

Welcome to icliniq.com.

First of all, based on the reports, the patient is hypovolemic (low BP). He needs a good oral diet and maybe if required admission and supportive care in the form of IV fluids. It looks like a recurrent disease in sub-mandibular nodes. It needs to be evaluated whether the nodal levels were included in the radiation therapy field or not (in-field recurrence vs out-field recurrence). In-field recurrences are difficult to treat and second-line chemotherapy or surgery can be planned (depending upon the response at the primary site: nasopharynx). Out of filed recurrence can be treated by radiation dose only if the meaningful dose of radiation has not been delivered in those regions. The biopsy can be performed if FNAC results are doubtful. You have not mentioned the date of completion of radiation therapy. Further course of action will also depend on that.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Saurabh Samdariya
Dr. Saurabh Samdariya

Radiation Oncology

Community Banner Mobile

iCliniq's FREE Newsletters

Expert-backed health and wellness information, delivered to your email.

Subscribe iCliniq
By clicking Subscribe, I agree to the iCliniq Terms & Conditions and Privacy Policy and understand that I may opt out of iCliniq subscriptions at any time.

Ask your health query to a doctor online

Radiation Oncology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy