• Nasopharynx Cancer Treatment
Authored by DR. SANDIP DUARAH

Nasopharynx Cancer Treatment

Nasopharynx cancer, also known as nasopharyngeal carcinoma (NPC), is a type of head and neck cacer that develops in the upper part of the throat behind the nose. While a diagnosis of nasopharynx cancer can feel overwhelming, it’s important to know that significant advances in treatment have led to greatly improved outcomes and quality of life for patients. Leading oncology centres worldwide now offer cutting-edge, personalised treatment plans that provide real hope.n



How is Nasopharynx cancer diagnosed

Definitive diagnosis is made by endoscopic guided biopsy of the primary tumour


How Nasopharynx Cancer is Treated

Treatment for nasopharynx cancer typically involves radiation therapy, chemotherapy, and targeted therapies. Surgery is reserved only for recurrent tumours.


By understanding your options, working closely with your healthcare team, and following their instructions carefully, you can increase your chance of fully recovering from nasopharynx cancer.

Radiation therapy

Radiation therapy utilises high-energy X-rays or other forms of radiation to target and eliminate cancer cells. It is the primary form of treatment. In early stages of the disease Radiation therapy alone is sufficient however in advanced stages chemotherapy is added along with radiation therapy and this helps by increasing the efficacy of radiation . Side effects may include fatigue, skin changes, hair loss, dry mouth, and swallowing difficulties.


How it works:

Radiation therapy damages the DNA of cancer cells, hindering their ability to reproduce and grow. Although healthy cells in the targeted area may also be affected, they typically recover more quickly than cancer cells.


Chemotherapy

Chemotherapy involves using drugs to destroy cancer cells or inhibit their multiplication. It can be administered intravenously or orally. Chemotherapy is usually administered concurrently with radiation therapy however in locally advanced cases few cycles of chemotherapy are given before starting concurrent chemoradiation. This helps in obtaining tumour shrinkage and better overall cure rates. Common side effects include nausea, vomiting, hair loss, fatigue, decreased appetite, and increased susceptibility to infection.


How it works

Chemotherapy selectively targets rapidly dividing cancer cells, interfering with their ability to multiply. While healthy cells may also be affected, they generally recover more quickly than cancer cells.


Surgery

Surgery is not the primary form of treatment. It is resorted to only in recurrent cases that are not extensive and are amenable to excision eg rT1 and rT2 cases.


How it works

Surgery directly removes the cancerous tissue and a margin of surrounding healthy tissue to ensure the elimination of all cancer cells while minimising damage to healthy structures.


Proton Therapy

Proton therapy, an advanced form of radiation therapy, uses protons instead of X-rays to precisely target cancer cells. This treatment is particularly beneficial for nasopharynx cancer, as it can accurately focus on the tumour while minimising damage to surrounding healthy tissue. Proton therapy offers several advantages, including fewer side effects and improved quality of life. Specialised proton centres, such as Apollo Proton Cancer Centre in India, employ cutting-edge technology to deliver this precise and effective radiation treatment.


How it works

Proton therapy targets cancer cells with high-energy protons. The protons can travel deeper into the body with more precision than other forms of radiation, meaning they can more accurately target the tumour while avoiding healthy tissue. This allows for more precise and effective treatment of cancer cells with fewer side effects than other forms of radiation therapy.


Proton therapy is an advanced treatment option that can precisely and effectively target cancer cells with minimal damage to surrounding healthy tissue. It may provide benefits such as fewer side effects and improved quality of life compared to other types of radiation therapy.


How Many Chemo Treatments Are Needed for the Nasopharynx?

The number of chemotherapy treatments required for nasopharynx cancer is tailored to each patient’s unique needs, taking into account factors such as the type and stage of the tumour, as well as the individual’s overall health. In most cases, patients with nasopharynx cancer undergo 3-6 cycles of chemotherapy, carefully spaced out over several months, to maximise effectiveness while minimising side effects.
For some patients, a more intensive approach may be recommended, which could involve additional chemotherapy courses in combination with chemoradiation These personalised treatment plans are designed to provide the best possible outcome for each patient.


Patients must work closely with their oncology team to determine the most appropriate and effective treatment plan for their specific situation. With the guidance and expertise of experienced medical professionals, patients can feel confident and optimistic about their treatment journey, knowing they are receiving the best care to combat their nasopharynx cancer.


Can You Fully Recover From Nasopharynx Cancer?

The prognosis for nasopharynx cancer has dramatically improved in recent years thanks to advancements in early detection and personalised treatment options. When caught early, Radiation alone may be sufficient to completely remove the tumour, offering the potential for a full recovery.


Even in cases where the cancer has progressed or spread, a combination of targeted treatments such as chemotherapy, proton therapy, and surgery can significantly improve outcomes. While full recovery may be more challenging in these situations, remission is often possible with the right medical care and support.


It is essential for patients to work closely with a specialised team of doctors who have expertise in treating nasopharynx cancer. By developing a tailored treatment plan that considers the individual’s unique needs and closely monitoring progress, healthcare professionals can optimise each patient’s chances of a successful recovery.


Patients should feel empowered to discuss their options and concerns with their medical team openly. With access to cutting-edge treatments, a dedicated support system, and a positive outlook, many patients can overcome nasopharynx cancer and look forward to a bright, cancer-free future. Remember, a diagnosis is not a death sentence; there is every reason to remain hopeful and optimistic throughout the treatment journey.


Conclusion

Nasopharynx cancer, while undoubtedly a serious diagnosis, is no longer a hopeless situation. Remarkable advancements in treatment options, early detection, and personalised care have significantly improved patient outcomes and quality of life.