Current management strategy of nasopharyngeal carcinoma.

摘要: Nasopharyngeal carcinoma is an unique head and neck cancer. It common among the southern Chinese closely associated with Epstein Barr virus (EBV). To diagnose disease in its early stage infrequent as symptoms are usually trivial patients only present late stages. Testing blood for elevated EBV DNA has now become a screening test high risk group of patients, aiming to Imaging studies, positron emission tomography scans addition clinical examination provide information on extent disease. The confirmation still depends endoscopic biopsy. Radiotherapy or without chemotherapy been primary treatment modality. application intensity modulated radiotherapy use concomitant chemoradiation have improved control nasopharyngeal together reduction long term side effects. detection residual recurrence tumor at site allowed delivery salvage treatment. choice optimal surgical salvage, either recurrent outcome these appropriate salvage.