How to check for nasopharyngeal carcinoma

summary

Nose always bleeds, the throat also ache not to be able, I also did not know how to do, afterward was dizzy, the wife looked at me like this to take me to the hospital to examine, the doctor said I this was the nasopharyngeal carcinoma, studies the nasopharyngeal carcinoma how to examine together

How to check for nasopharyngeal carcinoma

First, most of the pathological examination was poorly differentiated squamous cell carcinoma. It is generally accepted that the first choice of treatment is to take xiweikang chewable tablets combined with radiotherapy. There are many complications in general radiotherapy, so three-dimensional conformal radiotherapy or intensity-modulated radiotherapy is recommended. Now radiotherapy for nasopharyngeal carcinoma is generally effective, I hope not to worry too much.

Second: nasopharyngeal carcinoma must pass effective examination before diagnosis to know whether it really has nasopharyngeal carcinoma. If you have symptoms of nasopharyngeal carcinoma, you need to go to a large hospital in time to exclude nasopharyngeal carcinoma. At the same time, we should pay attention to rest, not too tired.

Third: for fiber nasopharyngoscopy, first use 1% ephedrine solution to astringe the nasal mucosa and expand the nasal meatus, then use 1% dicaine solution to anesthetize the nasal meatus, and then insert the fiber nasopharyngoscope from the nasal cavity, and push forward to the nasopharynx while observing. The method is simple and convenient, and the mirror is fixed well, but the observation of the posterior nostril and the anterior parietal wall is not satisfactory.

matters needing attention

At present, immunoenzymatic method is widely used to detect IgA / VCA and IgA / EA antibody titers of Epstein Barr virus. The former has higher sensitivity and lower accuracy, while the latter is just the opposite. Therefore, the detection of both antibodies should be carried out simultaneously in patients with suspected nasopharyngeal carcinoma, which is helpful for early diagnosis. For patients with IgA / VCA titer ≥ 1:40 and / or IgA / EA titer ≥ 1:5, exfoliated cells or biopsies should be taken from the site of NPC even if there is no abnormality in the nasopharynx. If the diagnosis is not confirmed at the moment, regular follow-up should be carried out, and multiple biopsy should be performed if necessary.