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For cases of young men and women over 30 years old who have a need for periodic examination to screen for oropharyngeal cancer or cases at risk of oropharyngeal cancer such as a family history of cancer nasopharynx, smokers and heavy drinkers. In addition, patients or the elderly and children with frequent unusual symptoms such as nosebleeds, headaches, tinnitus, nasal congestion, neck lymphadenopathy, etc., should be screened for early detection. oropharyngeal cancer.
1. Early detection of nasopharyngeal cancer
Screening for oropharyngeal cancer is the only way to detect and diagnose the disease at the earliest, which will help doctors come up with an effective treatment plan. For Men/Women over 30 years old who have a need for periodic examination to screen for oropharyngeal cancer or those at risk of oropharyngeal cancer such as family history of oropharyngeal cancer, those who smoke and drink a lot. In addition, patients or the elderly and children with frequent abnormal symptoms such as nosebleeds, headaches, tinnitus, nasal congestion, neck lymphadenopathy, etc., should be screened for early detection. oropharyngeal cancer.
2. Check for nasopharyngeal cancer
Pay attention to your own abnormal manifestations such as nasal congestion, nosebleeds, or bloody nose, ear infections, middle ear fluid, tinnitus, hearing loss, swollen lymph nodes in the neck, dull headache or diffuse, numbness, facial paralysis due to large tumor invading the skull base causing paralysis of the cranial nerves or unexplained weight loss to go for an early health checkup.
WHO classification of nasopharyngeal cancer
Carcinoma undifferentiated 75% - 85%. Differentiated carcinoma accounts for 10% - 15%. Sarcoma is rare about: 5%.
3. Diagnosis of nasopharyngeal cancer
Your doctor often does an endoscopy to look closely at your throat for ulcers. If your doctor finds something unusual during the endoscopy, a tissue sample (biopsy) will be needed for testing. In some cases, the doctor may also order a sample from the swollen lymph node using the "fine needle aspiration" technique as the definitive diagnostic factor.
Imaging tests such as C.T.Scan of nasopharynx, skull base to evaluate tumor invasion to skull base or MRI to diagnose tumor size, extent of invasion and metastasis and chest X-ray, Abdominal ultrasound to detect distant metastases in liver and lungs.
4. Throat cancer progression
Common tumors in the roof of the dome, the posterior nasal passage, spreading into the nasal cavity causing nasal congestion, sometimes accompanied by pus with a foul smell, mixed with blood or nosebleeds.
Tumor in the eustachian tube, spreading along the Eustachian tube to the middle ear, causing tinnitus, marked hearing loss on one side. Pain in the ear that radiates to the mastoid region. Purulent ear discharge with blood, rotten smell. Otoscopy: The eardrum is perforated, with warts, necrosis, easy bleeding, the tumor can pass through the tympanic cavity and spread to the external ear canal.
Tumor spreads downward, bulging the pharynx is affecting the voice (open nasal voice), swallowing or choking, can spread to the pharynx behind the tonsils. Possible Trotter syndrome: Deafness, cleft palate, oropharyngeal paralysis.
Cancer spreads to the base of the skull causing intracranial syndromes such as: Increased intracranial pressure and paralysis of the cranial nerves, causing internal distortion, blindness. Pain in the forehead and eye sockets, hemifacial numbness, paralysis of chewing muscles causing jaw tightness causing paralysis of the pharynx, pharyngeal paralysis, paralysis of sternocleidomastoid, trapezius and tongue paralysis
Before a patient had the above symptoms, Dr. The doctor will carefully examine the nasopharynx (indirect nasopharynoscopy or bronchoscopy (hard, soft)). The package of screening and early detection of cancer of the pharynx, pharynx, and larynx at Vinmec includes all necessary services to help detect nasopharyngeal cancer early, detect other abnormalities in the arch - hypopharynx - larynx area
Customers can directly go to Vinmec health system nationwide for examination or contact the hotline here for support
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