HomeAnswersMedical oncologynasopharyngeal cancer

How is nasopharyngeal carcinoma treatment done?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

This query is regarding nasopharyngeal carcinoma, non-keratinizing. The patient is a male. His symptoms are epistaxis, a lump on the right side of the neck, and weight loss.

Blood tests, CT scan, FNAC cervical lymph node right side of the neck, EBV testing, and biopsy of nasopharyngeal mass were done.

Kindly guide.

Answered by Dr. Arshad Hussain Shah

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have seen the attachment (attachment removed to protect patient identity). It looks like a nasopharyngeal carcinoma (a head and neck tumor). But still, the staging workup is incomplete. So, you need to do a CT scan of the chest and an isotope bone scan or a PET/CT scan to complete the staging workup.

As this tumor is not common in this age group, it is advised to review the pathology specimen again with the use of immunohistochemical markers in a different lab or take a new biopsy, as FNAC is sometimes insufficient to confirm the diagnosis.

After the staging workup is completed and the pathology (second opinion) report confirms the diagnosis, the patient may need and benefit from chemoradiation (radiation therapy and chemotherapy). This tumor usually responds well to chemoradiation and can be cured completely.

I hope this helps.

Feel free to reach out in case of further queries.

Thank you, and take care.

Medically reviewed by iCliniq medical review team
Published At July 24, 2018
Reviewed At June 3, 2026

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MD

Professional Bio:

Dr. Arshad Hussain Shah is a Medical Oncologist specializing in the diagnosis and treatment of cancer using chemotherapy, targeted therapy, and immunotherapy. He is dedicated to providing personalized, evidence-based care that supports patients through all stages of cancer treatment while improving their quality of life.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

lumpnasopharyngeal cancer

Ask your health query to a doctor online

*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.