Am I Suffering from Nasopharyngeal Cancer? Symptoms and Concerns - Otolaryngology

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Am I suffering from nasopharyngeal cancer?


Hello, doctor! I have been suffering from a cold that won't go away, with persistent coughing and phlegm production.
I've also experienced post-nasal drip, and for the past two days, the phlegm I've coughed up has had a bit of blood in it, appearing pink.
The nasal discharge from my nostrils has not contained blood.
This afternoon, I felt a tingling sensation in my right cheek, which felt strange, and sometimes I experience a feeling of ear fullness, but it resolves after yawning.
I do not have a headache or dizziness.
Am I suffering from nasopharyngeal cancer? Thank you, doctor.

Gao Xiansheng, 20~29 year old female. Ask Date: 2016/10/20

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common bleeding is due to the rupture of the nasal mucosa.
It is recommended to seek medical examination if there is no improvement.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/10/20

More Info


It's understandable to be concerned about your symptoms, especially when they include persistent cough, phlegm production, and the presence of blood in your mucus. While I cannot provide a diagnosis, I can help you understand the potential implications of your symptoms and the importance of seeking medical attention.

Nasopharyngeal cancer (NPC) is a type of cancer that arises in the nasopharynx, which is located behind the nose and above the back of the throat. Common symptoms of NPC can include:
1. Persistent Nasal Congestion: This can manifest as a blocked nose or difficulty breathing through the nose.

2. Nasal Bleeding: Blood in nasal discharge or phlegm can be a concerning symptom.

3. Ear Problems: Symptoms such as ear fullness, pain, or hearing loss can occur due to the proximity of the nasopharynx to the ear structures.

4. Facial Numbness or Weakness: This can happen if the cancer affects nearby nerves.

5. Swollen Lymph Nodes: Particularly in the neck, which may not be visible but can be felt.

Your symptoms of a persistent cough, phlegm production, and the presence of pink-tinged mucus could be indicative of several conditions, including infections (like sinusitis or bronchitis), allergies, or even more serious conditions like cancer. The tinged blood in your mucus is particularly concerning and warrants further investigation.

The sensation of numbness in your cheek and occasional ear fullness could suggest that there is some involvement of the surrounding structures, which can occur with various conditions, including infections or tumors. However, these symptoms alone do not confirm a diagnosis of nasopharyngeal cancer.

Given your symptoms, it is crucial to consult with a healthcare professional who can perform a thorough examination. They may recommend imaging studies, such as a CT scan or MRI, and possibly a biopsy if they suspect a tumor. These tests can help determine the cause of your symptoms and whether cancer is present.

In the meantime, here are some important points to consider:
- Do Not Delay Seeking Medical Attention: Early diagnosis and treatment are crucial for the best outcomes, especially if cancer is involved.

- Keep Track of Your Symptoms: Documenting when your symptoms occur, their severity, and any changes can provide valuable information to your healthcare provider.

- Discuss All Symptoms: Be open about all your symptoms, even those that may seem unrelated, as they can provide a fuller picture of your health.

In summary, while your symptoms could be concerning, they are not definitive indicators of nasopharyngeal cancer. A healthcare professional can provide a proper evaluation and guide you through the necessary steps for diagnosis and treatment. Remember, early intervention can make a significant difference in outcomes for many conditions, including cancer.

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