Nasopharyngeal carcinoma natural history, complications and prognosis: Difference between revisions

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==Overview==
==Overview==
==Prognosis==
==Prognosis==
The five-year survival rate of nonkeratinizing and undifferentiated nasopharyngeal carcinomas, with appropriate treatment, is about 65% overall. Cure is highly possible, even when disease has spread to the regional lymph nodes. The prognosis of keratinizing NPC is significantly worse, due to its greater resistance to radiation.<ref name="Weidner's">{{cite book |author=Richard Cote, Saul Suster, Lawrence Weiss, Noel Weidner (Editor) |title=Modern Surgical Pathology (2 Volume Set) |publisher=W B Saunders |location=London |year= |pages= |isbn=0-7216-7253-1 |oclc= |doi=}}</ref>
The five-year survival rate of [[nonkeratinizing]] and undifferentiated nasopharyngeal carcinomas, with appropriate treatment, is about 65% overall. Cure is highly possible, even when disease has spread to the regional [[lymph]] nodes. The prognosis of keratinizing NPC is significantly worse, due to its greater resistance to radiation.<ref name="Weidner's">{{cite book |author=Richard Cote, Saul Suster, Lawrence Weiss, Noel Weidner (Editor) |title=Modern Surgical Pathology (2 Volume Set) |publisher=W B Saunders |location=London |year= |pages= |isbn=0-7216-7253-1 |oclc= |doi=}}</ref>


Prognosis is influenced both by stage and tumour type.
Prognosis is influenced both by stage and tumour type.
 
*type I: keratinizing [[squamous]] cell carcinoma - 42% 5-year survival
*type I: keratinizing squamous cell carcinoma - 42% 5-year survival
*type II: non-keratinizing squamous cell [[carcinoma]] - 65% 5-year survival
 
*type II: non-keratinizing squamous cell carcinoma - 65% 5-year survival
 
*type III: undifferentiated carcinoma - 14% 5-year survival<ref>http://radiopaedia.org/articles/nasopharyngeal-carcinoma</ref>
*type III: undifferentiated carcinoma - 14% 5-year survival<ref>http://radiopaedia.org/articles/nasopharyngeal-carcinoma</ref>



Revision as of 20:32, 8 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Prognosis

The five-year survival rate of nonkeratinizing and undifferentiated nasopharyngeal carcinomas, with appropriate treatment, is about 65% overall. Cure is highly possible, even when disease has spread to the regional lymph nodes. The prognosis of keratinizing NPC is significantly worse, due to its greater resistance to radiation.[1]

Prognosis is influenced both by stage and tumour type.

  • type I: keratinizing squamous cell carcinoma - 42% 5-year survival
  • type II: non-keratinizing squamous cell carcinoma - 65% 5-year survival
  • type III: undifferentiated carcinoma - 14% 5-year survival[2]

Complications

  • Airway obstruction
  • Difficulty swallowing
  • Disfigurement of the neck or face
  • Hardening of the skin of the neck
  • Loss of voice and speaking ability
  • Spread of the cancer to other body areas (metastasis)

References

  1. Richard Cote, Saul Suster, Lawrence Weiss, Noel Weidner (Editor). Modern Surgical Pathology (2 Volume Set). London: W B Saunders. ISBN 0-7216-7253-1.
  2. http://radiopaedia.org/articles/nasopharyngeal-carcinoma

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