Nasopharyngeal Cancer: Symptoms, Concerns, and Next Steps

Q: Nasopharyngeal Cancer: Symptoms, Concerns, and Next Steps

Hello： Nasopharyngeal carcinoma, in addition to genetic factors, results from multiple other factors. <br>If you are concerned about nasopharyngeal carcinoma, you can visit a hospital for a detailed examination of the nasopharynx by a physician. <br>Whether a mirror or a nasophar

Nasopharyngeal cancer-related issues?

Hello, Doctor.
I will be turning 25 this year and have some questions I would like to ask you.
Recently, I have seen numerous reports and heard from friends that there is a trend of increasing cases of nasopharyngeal carcinoma among younger patients.
I have researched and found that the most common age range for this cancer is between 40 and 60 years old.
Some news articles mention that those in their 20s and 30s who develop this disease are often related to genetic factors.
Is this statement accurate?
Additionally, I have been experiencing discomfort in my nose and throat for the past two weeks.
I visited a nearby clinic, and despite taking medication, my nasal symptoms have not improved.
I have a persistent foreign body sensation in the back of my nose near my throat.
I initially thought it was post-nasal drip, but I have been unable to cough up any phlegm or blow my nose.
After a second visit to the doctor, I received some explanations regarding my nasal issues and took more medication, which provided slight improvement, but the foreign body sensation persists and is not position-dependent.
Furthermore, I have been experiencing mild tinnitus and a feeling of pressure or pain in my left ear and left side of my head.

I have read many articles about the symptoms related to nasopharyngeal carcinoma, which has made me quite anxious.
I am worried that the foreign body sensation in my nose might be due to a tumor or polyp.
After finishing my current medication, if I do not feel better, I plan to visit a larger hospital.
My question is, if the doctors there do not suggest it, can I proactively request a nasal endoscopy?
I would greatly appreciate your responses to these three questions.
Thank you!

Mr. Lu, 20~29 year old female. Ask Date: 2017/05/26

Dr. Zheng Jueyi reply Otolaryngology

Hello: Nasopharyngeal carcinoma, in addition to genetic factors, results from multiple other factors.
If you are concerned about nasopharyngeal carcinoma, you can visit a hospital for a detailed examination of the nasopharynx by a physician.
Whether a mirror or a nasopharyngoscope is used does not make a difference as long as the area is clearly visible.
If any abnormalities are found, the physician will often perform a biopsy for diagnosis.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/26

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding nasopharyngeal cancer (NPC) and your current symptoms. It’s understandable to feel anxious, especially when experiencing discomfort and hearing about the rising incidence of NPC among younger individuals. Let’s address your questions one by one.

1. Age and Genetic Factors: You are correct that nasopharyngeal cancer is more commonly diagnosed in individuals aged 40 to 60. However, there has been an observed increase in cases among younger populations, particularly in certain geographic regions and ethnic groups. Genetic predisposition can indeed play a role; for instance, individuals with a family history of NPC or those carrying specific genetic markers may be at a higher risk. Additionally, environmental factors, such as exposure to certain viruses (like Epstein-Barr virus), dietary habits, and lifestyle choices, can also contribute to the development of NPC. Therefore, while genetics can be a factor, it is not the sole reason for the increasing incidence in younger patients.

2. Symptoms and Concerns: The symptoms you describe, including the sensation of an obstruction in your throat, persistent cough, and ear discomfort, can be indicative of several conditions, ranging from allergies and infections to more serious issues like tumors. It’s important to note that while these symptoms can be alarming, they are not definitive indicators of cancer. However, given your ongoing discomfort and the lack of improvement with initial treatments, it is prudent to seek further evaluation.
3. Requesting an Endoscopy: You absolutely have the right to advocate for your health. If your symptoms persist after completing your current medication, you should feel empowered to request a nasopharyngoscopy (nasal endoscopy) from your healthcare provider. This procedure allows for a direct visual examination of the nasal passages and throat, which can help identify any abnormalities such as polyps, tumors, or signs of infection. If your doctor does not suggest this test, you can express your concerns and request it based on your symptoms and the lack of improvement.

In conclusion, while your symptoms are concerning, they do not automatically indicate nasopharyngeal cancer. However, it is essential to follow up with a specialist, especially if your symptoms persist. If you feel that your current healthcare provider is not addressing your concerns adequately, seeking a second opinion or consulting with an ENT (ear, nose, and throat) specialist would be a wise step.
Remember to keep track of your symptoms and any changes you notice, as this information will be valuable for your healthcare provider. Take care of yourself, and don’t hesitate to reach out for further assistance or clarification.

Best wishes for your health,
Doctor Q&A Teams

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