Rak krtani nosowej
Charakterystyka, pielęgnacja i opieka
Rak krtani nosowej (nasopharyngeal cancer) wymaga kompleksowego, multidyscyplinarnego podejścia terapeutycznego, obejmującego onkologów radioterapeutów, klinicznych, chirurgów głowy i szyi oraz specjalistów pielęgniarskich, logopedów i dietetyków. Podstawową metodą leczenia jest radioterapia, często w połączeniu z chemioterapią (najczęściej cisplatyną), natomiast chirurgia pełni rolę uzupełniającą, głównie w przypadku nieodpowiadających na leczenie węzłów chłonnych. Kluczowe jest dokładne planowanie opieki, w tym ocena stanu odżywienia, badania obrazowe (MRI, CT, PET-CT), testy na obecność przeciwciał EBV oraz monitorowanie funkcji narządów i parametrów życiowych. Pielęgniarki onkologiczne odgrywają istotną rolę w monitorowaniu i łagodzeniu działań niepożądanych radioterapii (np. zapalenie błony śluzowej, kserostomia, zmiany skórne) oraz chemioterapii (nudności, neutropenia, nefrotoksyczność), a także w edukacji pacjentów i koordynacji rehabilitacji funkcjonalnej.
- Wprowadzenie do opieki nad pacjentem z rakiem krtani nosowej
- Planowanie opieki przedterapeutycznej
- Opieka pielęgniarska podczas leczenia
- Opieka długoterminowa i rehabilitacja
- Regularne badania kontrolne
- Leczenie podporowe i łagodzenie działań niepożądanych
- Rehabilitacja funkcjonalna
- Wsparcie psychosocjalne i edukacja pacjenta
- Innowacyjne modele opieki pielęgniarskiej
- Opieka nad szczególnymi grupami pacjentów
- Podsumowanie i rekomendacje dla praktyki pielęgniarskiej
Wprowadzenie do opieki nad pacjentem z rakiem krtani nosowej
Rak krtani nosowej (nasopharyngeal cancer) to nowotwór rozwijający się w górnej części gardła, za jamą nosową, w obszarze zwanym nosogardłem. Opieka nad pacjentem z tym rozpoznaniem wymaga kompleksowego podejścia multidyscyplinarnego (MDT), obejmującego specjalistów z różnych dziedzin medycyny, w tym onkologów radioterapeutów, onkologów klinicznych, chirurgów głowy i szyi, pielęgniarki onkologiczne, logopedów, dietetyków oraz pracowników socjalnych.12
Opieka pielęgniarska nad pacjentem z rakiem krtani nosowej ma kluczowe znaczenie na każdym etapie procesu leczenia – od momentu diagnozy, poprzez leczenie, aż po długoterminową obserwację i rehabilitację. Ze względu na lokalizację anatomiczną guza, pacjenci często doświadczają problemów związanych z mową, połykaniem, słuchem, widzeniem, węchem i smakiem, co wymaga specjalistycznego podejścia pielęgniarskiego.12
Planowanie opieki przedterapeutycznej
Przed rozpoczęciem leczenia ważne jest kompleksowe planowanie opieki, które powinno uwzględniać indywidualne potrzeby pacjenta oraz przewidywane skutki uboczne terapii. W ramach przygotowania do leczenia zespół pielęgniarski powinien:12
- Przeprowadzić szczegółowy wywiad i ocenę stanu pacjenta
- Zaplanować konsultacje ze specjalistami, w tym z logopedą i dietetykiem
- Zorganizować konsultację stomatologiczną przed radioterapią
- Edukować pacjenta na temat procesu leczenia i możliwych działań niepożądanych
- Pomóc w przygotowaniu planu opieki pooperacyjnej, jeśli planowany jest zabieg chirurgiczny
Przed rozpoczęciem radioterapii szczególnie istotne jest przeprowadzenie oceny stanu odżywienia pacjenta, gdyż leczenie często prowadzi do problemów z połykaniem i utratą masy ciała. Wczesna interwencja dietetyczna może znacząco poprawić tolerancję leczenia i jakość życia pacjenta.1
Ocena wstępna i badania diagnostyczne
Kluczowym elementem opieki nad pacjentem z rakiem krtani nosowej jest dokładna ocena wstępna oraz regularne badania kontrolne. Pielęgniarki onkologiczne odgrywają ważną rolę w koordynacji tych badań i wyjaśnianiu ich znaczenia pacjentom.1
Do badań, które powinny być przeprowadzone przed rozpoczęciem leczenia, należą:12
- Szczegółowe badanie fizykalne ze szczególnym uwzględnieniem obszaru głowy i szyi
- Badania obrazowe (MRI, CT lub PET-CT) w celu określenia stadium zaawansowania nowotworu
- Badania krwi do oceny ogólnego stanu zdrowia i funkcji narządów wewnętrznych
- Badania słuchu i wzroku, które stanowią punkt odniesienia do późniejszej oceny skutków leczenia
- Badanie stomatologiczne w celu wyeliminowania potencjalnych źródeł infekcji
- Testy na obecność przeciwciał wirusa Epsteina-Barr (EBV), który jest związany z rakiem krtani nosowej
Opieka pielęgniarska podczas leczenia
Główne metody leczenia raka krtani nosowej obejmują radioterapię, chemioterapię lub ich połączenie (chemioradioterapia). Chirurgia nie jest zwykle stosowana jako leczenie pierwotne ze względu na trudny dostęp do obszaru nosogardła, ale może być wykorzystywana w celu usunięcia węzłów chłonnych szyi, które nie zareagowały na inne formy leczenia.12
Opieka podczas radioterapii
Radioterapia jest podstawową metodą leczenia raka krtani nosowej. W zaawansowanych przypadkach często łączona jest z chemioterapią. Nowoczesne techniki, takie jak radioterapia z modulowaną intensywnością wiązki (IMRT), pozwalają na precyzyjne dostarczenie wysokiej dawki promieniowania do guza przy jednoczesnej minimalizacji dawki dla otaczających tkanek zdrowych.12
Opieka pielęgniarska podczas radioterapii powinna koncentrować się na:12
- Monitorowaniu i łagodzeniu ostrych objawów niepożądanych radioterapii, takich jak:
- Zapalenie błony śluzowej jamy ustnej i gardła
- Suchość w jamie ustnej (kserostomia)
- Zmiany skórne w obszarze napromieniania
- Utrata smaku
- Nudności i wymioty
- Zmęczenie
- Ochronie skóry w miejscu napromieniania – pacjentom należy zalecić noszenie luźnych, bawełnianych ubrań oraz unikanie drapania, szorowania lub ekspozycji na słońce obszarów poddanych radioterapii
- Pielęgnacji jamy ustnej – regularne płukanie łagodnymi preparatami antyseptycznymi, używanie preparatów nawilżających
- Monitorowaniu stanu odżywienia i nawodnienia pacjenta
- Edukacji pacjenta na temat samoobserwacji i samoopieki
Szczególnie istotne jest zapewnienie pacjentowi odpowiedniej ilości płynów oraz suplementacji witaminy C, aby zminimalizować skutki zmniejszonego wydzielania śliny. Pacjenci z rakiem krtani nosowej często oddychają przez usta, co dodatkowo zwiększa suchość błon śluzowych jamy ustnej i gardła.1
Opieka podczas chemioterapii
Chemioterapia w leczeniu raka krtani nosowej jest najczęściej stosowana w połączeniu z radioterapią. Najczęściej używanym lekiem jest cisplatyna. Opieka pielęgniarska podczas chemioterapii powinna obejmować:12
- Monitorowanie parametrów życiowych pacjenta podczas podawania leków
- Obserwację miejsca wkłucia dożylnego
- Zapobieganie i leczenie typowych działań niepożądanych chemioterapii, takich jak:
- Nudności i wymioty
- Neutropenia i zwiększone ryzyko infekcji
- Zaburzenia funkcji nerek (szczególnie w przypadku stosowania cisplatyny)
- Neuropatia obwodowa
- Zmęczenie
- Edukację pacjenta w zakresie profilaktyki infekcji
- Zapewnienie odpowiedniego nawodnienia przed, w trakcie i po chemioterapii
W przypadku wystąpienia gorączki neutropenicznej konieczna jest hospitalizacja i podanie antybiotyków dożylnych. W schemacie często stosuje się cefalosporyny przeciwpseudomonalne, z aminoglikozydem lub bez (szczególnie w kontekście dysfunkcji nerek obserwowanej u pacjentów otrzymujących chemioterapię opartą na platynie) i/lub pokrycie przeciwgronkowcowe.1
Opieka pooperacyjna
Choć operacje nie są standardowym leczeniem pierwotnym raka krtani nosowej, mogą być wykonywane w przypadku nawrotu choroby lub gdy węzły chłonne szyi nie reagują na leczenie zachowawcze. Opieka pooperacyjna obejmuje:12
- Monitorowanie parametrów życiowych
- Kontrolę bólu – regularne podawanie leków przeciwbólowych
- Pielęgnację rany pooperacyjnej
- Monitorowanie drenażu z rany
- Wczesną mobilizację pacjenta
- Zapewnienie żywienia – często przez zgłębnik nosowo-żołądkowy do czasu wygojenia rany (około 2 tygodni)
- Rehabilitację oddechową i fizjoterapię
Bezpośrednio po operacji pacjent może przebywać na oddziale intensywnej terapii lub oddziale wzmożonego nadzoru, gdzie zapewniona jest intensywna opieka pielęgniarska. Pielęgniarki regularnie sprawdzają stan rany pod kątem gojenia się i ewentualnych oznak infekcji.12
Opieka długoterminowa i rehabilitacja
Po zakończeniu aktywnego leczenia pacjenci z rakiem krtani nosowej wymagają długoterminowej opieki i rehabilitacji. Opieka ta powinna koncentrować się na monitorowaniu nawrotu choroby oraz zarządzaniu późnymi skutkami leczenia.12
Regularne badania kontrolne
Ryzyko nawrotu raka krtani nosowej jest największe w ciągu pierwszych 2 lat, ale istnieje również ryzyko późnego nawrotu do 7 lat po zakończeniu leczenia. Z tego powodu pacjenci wymagają regularnych badań kontrolnych.12
Harmonogram badań kontrolnych zwykle obejmuje:12
- Wizyty co 2-3 miesiące przez pierwsze 3 lata po leczeniu, a następnie rzadziej
- Badania obrazowe (CT, MRI lub PET-CT) w celu sprawdzenia, czy nowotwór nie nawrócił
- Badania wzroku i słuchu
- Badania krwi w celu sprawdzenia funkcji tarczycy (raz lub dwa razy w roku)
- Badanie krwi na obecność przeciwciał wirusa Epsteina-Barr (EBV)
- Testy mowy i połykania
- Badania stomatologiczne
- RTG klatki piersiowej
- Nazofaryngoskopię lub panendoskopię w celu oceny pierwotnego miejsca guza
U dzieci i młodzieży, które przeszły leczenie z powodu raka krtani nosowej, należy regularnie prowadzić badania przesiewowe w kierunku zaburzeń endokrynologicznych, takich jak niedoczynność tarczycy, niedobór hormonu wzrostu oraz zaburzenia osi nadnerczowej.1
Leczenie podporowe i łagodzenie działań niepożądanych
Pacjenci po leczeniu raka krtani nosowej często doświadczają długotrwałych działań niepożądanych, które wymagają odpowiedniego postępowania. Do najczęstszych należą:12
- Suchość jamy ustnej (kserostomia) – może być łagodzona przez regularne nawilżanie, stosowanie sztucznej śliny, żucie gumy bez cukru i regularne wizyty stomatologiczne
- Przewlekłe zapalenie błony śluzowej jamy ustnej i gardła – wymaga regularnego płukania jamy ustnej łagodnymi płynami antyseptycznymi
- Problemy z połykaniem (dysfagia) – pacjenci mogą wymagać długoterminowej terapii połykania prowadzonej przez logopedę
- Zwłóknienie tkanek szyi – może być łagodzone przez fizjoterapię i ćwiczenia rozciągające
- Utrata słuchu – może wymagać aparatów słuchowych i regularnych badań audiologicznych
- Neuropatia obwodowa – powoduje drętwienie, mrowienie, ból i osłabienie, najczęściej w dłoniach i stopach; może być skutkiem ubocznym leków chemioterapeutycznych
- Problemy z tarczycą – wymagają monitorowania poziomu hormonów tarczycy i ewentualnej suplementacji
- Zmęczenie – może utrzymywać się przez długi czas po zakończeniu leczenia
W leczeniu tych powikłań mogą być stosowane różne preparaty farmakologiczne. Przykładowo, amifostyna (Ethyol) może być stosowana w celu zmniejszenia kserostomii wynikającej z radioterapii oraz nefrotoksyczności spowodowanej chemioterapią cisplatyną. Z kolei pentoksyfilina jest stosowana w leczeniu zwłóknienia wywołanego radioterapią.1
Rehabilitacja funkcjonalna
Rehabilitacja jest kluczowym elementem opieki długoterminowej po leczeniu raka krtani nosowej. Obejmuje ona:12
- Terapię mowy – prowadzoną przez logopedów w celu przywrócenia funkcji mowy po leczeniu
- Terapię połykania – specjaliści oceniają i leczą pacjentów, którzy mają trudności z jedzeniem, piciem i połykaniem po leczeniu
- Fizjoterapię – ukierunkowaną na poprawę ruchomości szyi i barków oraz ogólnej sprawności fizycznej
- Terapię zajęciową – pomagającą pacjentom w powrocie do codziennych aktywności
- Trening funkcjonalny – pacjenci powinni wykonywać ćwiczenia takie jak obracanie szyi, zaciskanie zębów, wydymanie policzków, uśmiechanie się, otwieranie ust
Pacjentom z radioaktywnym zapaleniem gardła należy zalecać płukanie gardła po posiłkach i przed snem.1
Wsparcie psychosocjalne i edukacja pacjenta
Opieka nad pacjentem z rakiem krtani nosowej powinna obejmować także wsparcie psychosocjalne i edukację, które są nieodłącznym elementem całościowej opieki onkologicznej.12
Wsparcie emocjonalne
Rozpoznanie raka krtani nosowej i jego leczenie mogą mieć znaczący wpływ na stan psychiczny pacjenta. Opieka pielęgniarska powinna uwzględniać:12
- Wsparcie emocjonalne dla pacjenta i jego rodziny
- Łagodzenie lęku i napięcia
- Pomoc w przygotowaniu się do długotrwałej walki z chorobą
- Kierowanie do grup wsparcia dla pacjentów z rakiem głowy i szyi
- W razie potrzeby, skierowanie do psychologa lub psychiatry
Pacjenci mogą doświadczać wielu trudnych emocji, w tym gniewu, zagubienia i smutku przez dłuższy czas po zakończeniu leczenia. Ważne jest, aby zapewnić im stałe wsparcie i możliwość wyrażania swoich uczuć.1
Edukacja i wsparcie w samoopiece
Edukacja pacjenta jest kluczowym elementem opieki pielęgniarskiej i powinna obejmować:12
- Informacje na temat profilaktyki zakażeń – w tym zapobieganie przeziębieniom, zapaleniu gardła, zapaleniu ucha środkowego
- Zalecenia dotyczące pielęgnacji jamy ustnej
- Instrukcje dotyczące pielęgnacji skóry poddanej radioterapii
- Zalecenia dietetyczne – unikanie pokarmów twardych, zimnych i zbyt gorących, zwiększenie spożycia produktów bogatych w białko i błonnik
- Poradnictwo w zakresie zaprzestania palenia tytoniu i picia alkoholu
- Informacje o regularnych badaniach kontrolnych i ich znaczeniu
- Wskazówki dotyczące rozpoznawania objawów nawrotu choroby
Pacjenci powinni być pouczeni, aby natychmiast zgłaszać swojemu lekarzowi wszelkie nowe objawy lub problemy. Może to pomóc w wykryciu nawrotu choroby na wczesnym etapie, gdy nowotwór jest mały i łatwiejszy do leczenia.1
Innowacyjne modele opieki pielęgniarskiej
W ostatnich latach rozwijane są nowe modele opieki pielęgniarskiej nad pacjentami z rakiem krtani nosowej, wykorzystujące nowoczesne technologie i podejścia do opieki ciągłej.1
Teleopieka i aplikacje mobilne
Model opieki pielęgniarskiej oparty na technologiach mobilnych (mHealth) stanowi obiecującą strategię zapewnienia ciągłości opieki pacjentom po wypisie ze szpitala. Badania wykazały, że zastosowanie platform mHealth do prowadzenia ciągłej opieki pielęgniarskiej może:12
- Zmniejszyć nasilenie toksyczności i działań niepożądanych radioterapii
- Obniżyć poziom zmęczenia związanego z chorobą nowotworową
- Poprawić jakość życia pacjentów
- Zmniejszyć częstość występowania objawów takich jak niedrożność nosa, suchość jamy ustnej, szumy uszne, zwłóknienie szyi i trudności w otwieraniu ust
- Zapewnić pacjentom natychmiastową opiekę bez konieczności opuszczania domu
Platformy mHealth mogą oferować funkcje takie jak: możliwość zadawania pytań, odtwarzanie filmów edukacyjnych, edycja grafik, dostarczanie wiedzy, statystyki kwestionariuszy i przypomnienia o ważnych wydarzeniach, co pozwala na przezwyciężenie ograniczeń związanych z obecnymi warunkami społecznymi i niedoskonałościami usług szpitalnych.1
Kompleksowa opieka wspierająca
Nowoczesne podejście do opieki nad pacjentem z rakiem krtani nosowej wykracza poza tradycyjne metody leczenia i obejmuje szereg dodatkowych usług wspierających, takich jak:12
- Opieka paliatywna – zapewniająca dodatkową warstwę wsparcia w zarządzaniu bólem i łagodzeniu objawów, oferująca wsparcie emocjonalne i duchowe oraz poprawiająca jakość życia
- Wsparcie pracowników socjalnych – specjalnie przeszkolonych do udzielania porad, łączenia pacjentów z zasobami społecznymi i medycznymi, pomocy w transporcie i zakwaterowaniu oraz koordynacji opieki po wypisie
- Indywidualne wsparcie żywieniowe – dietetycy pomagają pacjentom optymalizować odżywianie, które może być utrudnione przez objawy choroby lub skutki uboczne leczenia
- Rehabilitacja fizyczna – obejmująca opiekę nad ranami, terapię mowy, terapię połykania, terapię obrzęku limfatycznego, rehabilitację równowagi i układu przedsionkowego, jogę i inne aktywności
- Terapie integracyjne – takie jak techniki relaksacyjne, masaż, akupunktura, które mogą pomóc w zarządzaniu objawami
Te kompleksowe usługi są dostosowywane do indywidualnych potrzeb pacjenta i mają na celu poprawę wyników leczenia oraz jakości życia podczas i po terapii.12
Opieka nad szczególnymi grupami pacjentów
Opieka nad dziećmi i młodzieżą
Rak krtani nosowej jest rzadki u dzieci poniżej 10 roku życia, ale jego częstość wzrasta między 10 a 19 rokiem życia. Opieka nad młodocianymi pacjentami wymaga specjalistycznego podejścia:12
- Zespoły onkologii dziecięcej powinny obejmować ekspertów w zakresie rzadkich nowotworów
- Opieka powinna być dostosowana do specyficznych potrzeb rozwojowych dziecka
- Specjaliści od życia dziecka mogą pomóc w wyjaśnieniu procedur, oferowaniu zachęty i organizowaniu zabaw podczas pobytu w szpitalu
- Usługi ambulatoryjne (np. chemioterapia, transfuzje i badania laboratoryjne) powinny być dostępne przez dłuższy czas, aby uniknąć niepotrzebnych hospitalizacji
- Programy dla nastolatków i młodych dorosłych z chorobą nowotworową łączą ekspertyzę onkologów dziecięcych i dorosłych
Po zakończeniu leczenia ważne jest zapewnienie długoterminowej opieki, w tym regularnego monitorowania potencjalnych późnych skutków leczenia, takich jak zaburzenia endokrynologiczne (niedoczynność tarczycy, niedobór hormonu wzrostu, zaburzenia osi nadnerczowej).1
Opieka domowa i społeczna
Pacjenci z rakiem krtani nosowej mogą potrzebować opieki i wsparcia w domu z powodu choroby i jej leczenia. Dostępne są różne usługi społeczne, które mogą pomóc:12
- Pielęgniarki środowiskowe – pracują w różnych miejscach w okolicy i mogą odwiedzać pacjentów w domu. Mogą:
- Podawać leki lub zastrzyki
- Sprawdzać temperaturę, ciśnienie krwi i oddech
- Czyścić i opatrywać rany
- Monitorować lub zakładać kroplówki
- Udzielać wsparcia emocjonalnego
- Uczyć podstawowych umiejętności opiekuńczych członków rodziny
- Organizować specjalistyczny sprzęt, taki jak łóżka szpitalne, specjalne materace, komody lub baseny
- Pielęgniarki specjalistyczne opieki paliatywnej – doradzają w zakresie kontroli bólu, nudności i innych objawów nowotworowych. Są to np. pielęgniarki Macmillan lub pielęgniarki hospicyjne.
- Pielęgniarki Marie Curie – zapewniają opiekę pielęgniarską osobom z zaawansowanym rakiem w ich własnych domach. Mogą odwiedzać w ciągu dnia lub spędzać noc w domu pacjenta, aby dać opiekunom przerwę.
- Pracownicy socjalni – mogą pomóc w zorganizowaniu pomocy domowej, asystentów opieki osobistej, posiłków na kółkach, opieki wytchnieniowej.
Pracownik socjalny może również pomóc w sprawach finansowych, sprawdzając, czy pacjent otrzymuje wszystkie świadczenia, do których jest uprawniony, lub doradzając w sprawie dotacji charytatywnych na takie rzeczy jak dodatkowe koszty ogrzewania czy specjalne diety.1
Podsumowanie i rekomendacje dla praktyki pielęgniarskiej
Opieka pielęgniarska nad pacjentem z rakiem krtani nosowej wymaga kompleksowego, multidyscyplinarnego podejścia, które uwzględnia wszystkie aspekty fizyczne, psychologiczne i społeczne choroby i jej leczenia.12
Kluczowe rekomendacje dla praktyki pielęgniarskiej obejmują:12
- Dokładną ocenę wstępną i planowanie opieki dostosowane do indywidualnych potrzeb pacjenta
- Aktywne monitorowanie i zarządzanie skutkami ubocznymi leczenia
- Wsparcie w zakresie odżywiania i nawodnienia
- Profilaktykę i wczesne leczenie infekcji
- Kompleksową rehabilitację funkcjonalną
- Ciągłe wsparcie psychosocjalne
- Edukację pacjenta i rodziny
- Koordynację opieki multidyscyplinarnej
- Długoterminowe monitorowanie pod kątem nawrotu choroby i późnych skutków leczenia
W przypadku raka krtani nosowej wskazane jest również wykorzystanie nowoczesnych technologii, takich jak platformy mHealth, do zapewnienia ciągłości opieki po wypisie ze szpitala, co może znacząco poprawić wyniki leczenia i jakość życia pacjentów.1
Pielęgniarki odgrywają kluczową rolę w zespole multidyscyplinarnym, koordynując opiekę, monitorując stan pacjenta, edukując pacjenta i rodzinę oraz zapewniając wsparcie emocjonalne na wszystkich etapach procesu leczenia. Ich wiedza i umiejętności są niezbędne do osiągnięcia optymalnych wyników leczenia i poprawy jakości życia pacjentów z rakiem krtani nosowej.12
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Nasopharyngeal cancerhttps://www.nhs.uk/conditions/nasopharyngeal-cancer/
If you’re diagnosed with nasopharyngeal cancer, you’ll be cared for by a team of different specialists who work together in a multidisciplinary team (MDT). […] Members of your MDT will discuss with you what they think the best treatment option is in your case. […] The 2 main treatments for nasopharyngeal cancer are: radiotherapy where radiation is used to kill cancer cells and chemotherapy where medicine is used to kill cancer cells. […] A combination of radiotherapy and chemotherapy is often used. […] Surgery isn’t usually used to treat nasopharyngeal cancer because it’s difficult for surgeons to access the affected area. […] If you smoke, it’s important you give up. Smoking increases your risk of cancer returning and may cause more side effects from treatment. […] Radiotherapy is the most commonly used treatment for nasopharyngeal cancer.
- #1 Nasopharyngeal Cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/throat-cancer/nasopharyngeal-cancer.html
Nasopharyngeal cancer treatment is customized to maximize the chances of cure while also paying special attention to quality of life. […] Because of the nasopharynx’s location, nasopharyngeal cancer can impact vision, hearing, speaking, smell, taste, and swallowing. […] The following treatments are used for nasopharyngeal cancer: […] MD Anderson offers therapies and services to help throat cancer patients adjust to and overcome these challenges as much as possible. […] Speech therapy: MD Anderson speech pathologists and audiologists offer patients the most advanced techniques for restoring speech after throat cancer and its treatment. […] Swallowing therapy: Experts in MD Anderson’s Speech Pathology and Audiology Section are dedicated to evaluating and treating patients who have difficulty eating, drinking, and swallowing after treatment.
- #1 Support for Nasopharyngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/nasopharyngeal-cancer/support
Doctors, nurses, physician assistants, social workers, and rehabilitation specialists at NYU Langones Perlmutter Cancer Center collaborate to provide support for people with nasopharyngeal cancer. They offer a variety of services throughout diagnosis and treatment and during follow-up appointments. […] Speech and swallowing therapists at NYU Langone can meet with you before treatment to discuss how therapies for nasopharyngeal cancer may affect your ability to speak and swallow. […] Your doctor may recommend that you see an NYU Langone dentist before, during, and after treatment, because radiation therapy for nasopharyngeal cancer can sometimes cause dry mouth, resulting in tooth decay. […] Because nasopharyngeal cancer and its treatments often cause swallowing problems, you may need a nutritional assessment and dietary plan. Nutritionists at Perlmutter Cancer Center can help ensure you are getting the nutrients you need in easy-to-swallow foods throughout treatment and recovery.
- #1 Nasopharyngeal Cancer | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/cancer/nasopharyngeal-cancer.html
Nasopharyngeal cancer is a type of nose and throat cancer that develops in the nasopharynx, the upper part of the throat behind the nose. Stanford Health Care’s nasopharyngeal cancer program is one of the largest and most active in North America. Our cancer doctors are experts in treating all types and stages of nasopharyngeal cancer with excellent outcomes. […] If the cancer is confined to the nasopharynx or neck lymph nodes, treatment can usually cure it. […] Learning what stage your cancer is in helps you and your doctor make decisions about your treatment plan. This information also helps your doctor determine your prognosis (probable outcome based on the experience of others). […] We conduct a thorough evaluation to diagnose nasopharyngeal cancer. Your doctor asks about your medical history, completes a physical exam, and may recommend specific tests. […] Before and during treatment, we take small samples of your blood to test in the lab. Blood tests provide information about your health and help us monitor any potential side effects of nasopharyngeal cancer treatment.
- #1 Nasopharyngeal Cancer Follow-up: Further Outpatient Care, Further Inpatient Care, Inpatient & Outpatient Medicationshttps://emedicine.medscape.com/article/988165-followup
Radiation therapy is often administered on an outpatient basis. Follow-up is necessary after all radiation and chemotherapy has been administered. […] Patients are evaluated every 3 months during the first year and every 6 months during the second and third years after treatment. Thereafter, follow-up is necessary every year. […] Physical examination and a detailed history should be performed with each visit. […] Imaging of the head and neck (CT or MRI), CT of the chest, and bone scan/positron emission tomography (PET) (if positive at distant metastatic sites at diagnosis) are usually performed every 3 months for the first year and then every 6 months for the next 2 years after therapy is completed to assess response. […] A dental examination prior to radiotherapy and on a routine basis after therapy is recommended because of the possibility of caries and poor dental hygiene. Osteonecrosis of the mandible is a rare complication of radiotherapy and is often avoided with proper dental care.
- #1 Follow-up after treatment for nasopharyngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/nasopharyngeal/treatment/follow-up
During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping. […] Tests are often part of follow-up care. You may have: imaging tests such as CT, MRI or PET-CT scans to check if the cancer has spread, vision and hearing tests, blood tests to check thyroid function once or twice a year, a blood test to check for the presence of the Epstein-Barr virus (EBV) antibodies, speech and swallowing tests to check on your recovery, dental exams to check for cavities, a chest x-ray to check if the cancer has spread to the lungs, nasopharyngoscopy or panendoscopy to look at the original tumour site and other areas in the throat and to biopsy any abnormal areas. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #1 Nasopharyngeal cancerhttps://www.nhs.uk/conditions/nasopharyngeal-cancer/
Radiotherapy itself is painless, but it can have some significant side effects, such as: red and sore skin in the treatment area, feeling sick, changes to your sense of taste, dry mouth, hair loss. […] These side effects are usually temporary, but some can be permanent. Let your care team know if you have these problems, as treatment is often available to help. […] Chemotherapy may be used before or alongside radiotherapy for more advanced nasopharyngeal cancers. […] You should discuss any concerns you have about the potential side effects of treatment with your care team before treatment begins. […] After your course of treatment ends, you’ll need to have regular follow-up appointments and scans to monitor your recovery and check for any signs of the cancer returning.
- #1 Common Nursing Methods for Nasopharyngeal Cancer | Modern Cancer Hospital Guangzhou, Chinahttps://www.asiancancer.com/en/cancer-healthcare/cancer-nursing/4445.html
Common Nursing Methods for Nasopharyngeal Cancer […] Expert from Modern Cancer Hospital Guangzhou introduces common nursing methods for nasopharyngeal cancer and hopes that patients can pay attention to these methods. […] 1. Pay attention to prevention of cold, sphagitis, otitis media. Dental care including tooth extraction, tooth inserting, and dental filling are not allowed within 3 years after radiotherapy. Infections of nose, ear, eyes and oral cavity should be treated in time, like rinsing with antibiotic medicine and special solution. […] 2. Protect the skin region where was performed radiotherapy. Scratching, scrubbing with irritant liquids or exposing to the sun is not allowed. Patients should wear loose-fitting cotton clothes, and pay attention to the protection of the skin region.
- #1 Common Nursing Methods for Nasopharyngeal Cancer | Modern Cancer Hospital Guangzhou, Chinahttps://www.asiancancer.com/en/cancer-healthcare/cancer-nursing/4445.html
3. Pay attention to patients mental nursing, release their fear and tension and help them to prepare for the long fighting with cancer. Moreover, patients should follow doctors advices and take treatments actively. […] 4. Nasopharyngeal cancer patients have to breathe through his mouth in that the tumor is located in the upper part of the nasal cavity, as a result, the water in patients oral cavity evaporate rapidly and patients saliva reduces. Radiotherapy may also reduce saliva. Therefore, patients should be given more water, dark plum or vitamin C to make sure that there is enough saliva for them. […] 5. Pay attention to functional training. Patients should do more exercises like turning the neck, clicking teeth, pouching the check, smiling, opening the mouth. Patients with radioactive pharyngitis should use gargle after meal and before sleeping. […] 6. To keep a good living habit. In the aspect of diet nursing, nasopharyngeal cancer patients should quit smoking and drinking; eat more foods with high protein and fiber instead of cold, hard and overheating food.
- #1 Patterns of care for patients with nasopharyngeal carcinoma (KROG 11-06) in South Koreahttps://www.e-roj.org/journal/view.php?number=137
Of the 1,445 patients, 894 (61.9%) received CCRT and 551 (38.1%) received RT alone. […] Neoadjuvant chemotherapy was given before RT to 468 patients (32.4%) and adjuvant chemotherapy was given after RT to 366 patients (25.3%). […] The most commonly used chemotherapy regimen in CCRT was cisplatin (81.3%). […] As for RT, 98.1% of the patients completed the whole course of treatment. […] Advances in RT techniques were remarkable over the periods studied. […] In conclusion, there have been advances in the management of NPC patients in South Korea.
- #1 Nasopharyngeal Cancer Follow-up: Further Outpatient Care, Further Inpatient Care, Inpatient & Outpatient Medicationshttps://emedicine.medscape.com/article/988165-followup
As many children develop endocrine abnormalities after treatment, screening testing for hypothyroidism, growth hormone deficiency, and adrenal axis disorders should occur on a frequent basis after the completion of therapy. […] Certain types of chemotherapy will need to be administered on an inpatient basis. […] Patients who develop febrile neutropenia need to be admitted for intravenous antibiotics. The antibiotic regimen usually consists of an antipseudomonal cephalosporin, with or without an aminoglycoside (especially in the context of renal dysfunction seen in patients receiving platinum-based chemotherapy) and/or an antistaphylococcal coverage. […] Severe cases of malnutrition and dehydration may require inpatient management with support from a pediatric nutritionist. […] Routine medications are not often administered and depend on treatment-related symptomatology.
- #1 After nasopharyngeal cancer surgery | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/nasopharyngeal-cancer/treatment/surgery/after
It takes a few weeks and sometimes longer for you to recover after your operation. You will need to spend a few days in the hospital and you will need to give yourself time to recover once you are home. […] After your operation, you wake up in the recovery room. Your recovery nurse looks after you until you are awake and well enough to go back to the ward. […] In intensive care you have one to one nursing care. In the high dependency unit you have very close nursing care. Your surgeon and anaesthetist also keep a close eye on your progress. […] Your nurses will check the amount of drainage regularly. They usually change the bottles attached to them daily, or more often if needed. […] Tell your doctor or nurse as soon as you feel any pain. They need your help to find the right type and dose of painkiller for you. Painkillers work best when you take them regularly.
- #1 Nasopharyngeal Cancer Survivors | American Cancer Societyhttps://www.cancer.org/cancer/types/nasopharyngeal-cancer/after-treatment/follow-up.html
Ask your doctor for a survivorship care plan. […] Follow-up care after nasopharyngeal cancer. […] People with cancer of the nasopharynx are at risk for the cancer coming back (a recurrence) and developing new cancers in other parts of the body, so they must be watched closely after treatment. […] Your cancer care team will discuss which tests should be done and how often based on the type and initial stage of your cancer, as well as the type of treatment you had, and your response to that treatment. […] It’s important to report any new symptoms or problems to the doctor right away. This might help your doctor help find recurrent cancer as early as possible, when cancer is small and easier to treat. […] After treatment, you might not gain weight or replace your protein stores as well as you should. A team of doctors and nutritionists can work with you to provide nutrition supplements and information about your individual nutritional needs. This can help you maintain your weight and nutritional intake.
- #1 Follow-up after treatment for nasopharyngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/nasopharyngeal/treatment/follow-up
Follow-up after treatment is an important part of cancer care. Follow-up for nasopharyngeal cancer is often shared among the cancer specialists (radiation oncologist, medical oncologist and head and neck surgeon) and your family doctor. Your healthcare team for follow-up care may also include a speech therapist and a dentist. Your healthcare team will work with you to decide on follow-up care to meet your needs. […] The chance that nasopharyngeal cancer will come back (recur) is greatest within 2 years. But there is a risk that it can come back up to 7 years after treatment, so you will need close follow-up during this time. […] Follow-up visits for nasopharyngeal cancer are usually scheduled every 2 to 3 months for the first 3 years after treatment and then less often. Regular follow-up visits usually continue for up to 7 years because of the risk of a late recurrence.
- #1 Support for Nasopharyngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/nasopharyngeal-cancer/support
Sometimes radiation therapy and open surgery for nasopharyngeal cancer can cause stiffness in the face, jaw, neck, and shoulder muscles. […] Radiation therapy and surgery for nasopharyngeal cancer involving the lymph nodes of the neck may cause scar tissue in nearby lymph vessels. […] Neuropathy is a condition in which nerves are damaged. This causes numbness, tingling, pain, and weakness, most often in the hands and feet. It may be a side effect of the chemotherapy drugs used to manage nasopharyngeal cancer. […] If you are experiencing fatigue from the cancer or its treatment, our doctors may recommend that you receive physical and occupational therapy at Rusk Rehabilitation. […] Social workers at NYU Langone are available throughout your diagnosis, treatment, and follow-up care to help you cope with any financial matters or logistical challenges, such as traveling to your medical appointments, that may arise. […] The supportive care team at Perlmutter Cancer Center provides ongoing therapy for any cancer- or treatment-related discomfort, such as pain, fatigue, loss of appetite, or stress, helping to improve quality of life.
- #1 Nasopharyngeal Cancer Follow-up: Further Outpatient Care, Further Inpatient Care, Inpatient & Outpatient Medicationshttps://emedicine.medscape.com/article/988165-followup
Pneumocystis jiroveci pneumonia (also known as PCP) prophylaxis is recommended once chemotherapy starts and until 3 months after therapy is completed. […] Annual influenza vaccination (inactivated or killed vaccine, also know as the „flu shot”) is recommended for every pediatric patient. […] Amifostine (Ethyol) may be used in the management of patients with nasopharyngeal cancer. This drug has been found to reduce xerostomia resulting from radiotherapy and nephrotoxicity resulting from cisplatin chemotherapy. […] Pentoxifylline has been used for treatment of radiation-induced fibrosis.
- #1 Nasopharyngeal Cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/throat-cancer/nasopharyngeal-cancer.html
Reconstructive surgery: Throat cancer treatment can impact a patient’s appearance. […] Dental care: The teeth and jaw of throat cancer patients can be damaged by the disease and its treatments. […] Regular follow-up and screenings are vital due to the high risk of throat cancer returning to the throat or other areas in the head and neck region. […] Throat cancer patients are also strongly urged not to smoke or drink alcohol during and after treatment. […] At MD Anderson, you will get care from a multidisciplinary team of nasopharyngeal cancer specialists, including a medical oncologist, radiation oncologist, and surgical oncologist. […] Care for nasopharyngeal patients at MD Anderson goes far beyond these therapies. […] You may get occupational, physical, and speech therapy. […] MD Anderson also offers dedicated survivorship care for nasopharyngeal cancer patients. […] From support groups to counseling to integrative medicine care, we have all the services needed to treat not just the disease, but the whole person.
- #1 Coping with nasopharyngeal cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/nasopharyngeal-cancer/living-with/coping
Marie Curie nurses give nursing care to people with advanced cancer in their own homes. They can visit during the day or spend the night in your home to give your carers a break. […] Social workers can help to support you with your situation at home. They can arrange home helps to help with shopping or housework, home care assistants for washing and dressing, meals on wheels, respite care. […] Your social worker can also help with money matters by checking you get all the benefits you are entitled to. Or they can advise you about charity grants for things like extra heating costs or special diets. […] Help and support is available. It might help you to share your worries or sense of loss with others who have been through similar experiences. Ask your nurse if they run a head and neck cancer support group in the hospital. You could also get in touch with one of the organizations that support people with head and neck cancer.
- #1 After nasopharyngeal cancer surgery | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/nasopharyngeal-cancer/treatment/surgery/after
Talk to the physiotherapist or nurse if you’re unsure about what you should be doing, they can suggest things to help. […] Your surgeon will tell you more about having a skin graft if you have one. […] You might feel very angry, confused and upset for some time afterwards. […] You may need a lot of support from your doctors and nurses, family and friends.
- #1 Nasopharyngeal Cancer Survivors | American Cancer Societyhttps://www.cancer.org/cancer/types/nasopharyngeal-cancer/after-treatment/follow-up.html
Survivors of NPC should follow the American Cancer Society guidelines for the early detection of cancer, stay away from tobacco products, and avoid alcohol. […] To help maintain good health, survivors should also get to and stay at a healthy weight, keep physically active and limit the time you spend sitting or lying down, follow a healthy eating pattern that includes plenty of fruits, vegetables, and whole grains, and limits or avoids red and processed meats, sugary drinks, and highly processed foods.
- #1 A mHealth-based nursing model for assessing the health outcomes of the discharged patients with nasopharyngeal carcinoma: a pilot RCT | | Full Texthttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00993-0
This study is based on the mHealth continuous nursing intervention model, which can reduce the side effects of radiotherapy and cancer fatigue, and improve the quality of life. […] Therefore, this study mainly focused on optimizing the therapeutic resources to help hospitals in providing the patients with high-quality, effective, convenient, and rapid continuation of nursing services for ameliorating the current situation of unbalanced development of medical resources. […] The mobile internet technology has introduced a brand-new improvised mode for stay-at-home and instant medical care, promoting medical knowledge sharing and doctor-patient or nurse-patient interaction, improving the level of hospital clinical nursing information construction at a deeper level, and diversifying the work of nurses.
- #1 A mHealth-based nursing model for assessing the health outcomes of the discharged patients with nasopharyngeal carcinoma: a pilot RCT | | Full Texthttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00993-0
Nasopharyngeal carcinoma (NPC) is one of the most common head and neck malignancies, having a high incidence in Guangxi, China. […] Therefore, efforts on improving the home-based extended care services to improve the quality of life of patients are booming. […] This study aimed to evaluate the impact of a mHealth-based care model on the health outcomes of discharged patients with nasopharyngeal carcinoma. […] The control group was subjected to routine discharge guidance and follow-up, while the experimental group was implemented with a mobile health (mHealth)-based continuous nursing intervention model. […] After 6 and 12 months of intervention, the severity of radiation toxicity and side effects, the scores of cancer-related fatigue, and quality of life (symptom field) of the patients in the interventional group were significantly lowered statistically compared to those in the control group.
- #1 A mHealth-based nursing model for assessing the health outcomes of the discharged patients with nasopharyngeal carcinoma: a pilot RCT | | Full Texthttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00993-0
Therefore, this study conforms to the development needs of the times for building a continuous care management platform for the NPC patients with functions such as questioning, video playback, graphic editing, knowledge push, questionnaire statistics, and message reminders, which would provide the NPC patients with immediate care without leaving home services and overcome the limitations of current community conditions and the shortcomings of the hospital services. […] The toxic and side effects of radiotherapy were found to be alleviated by effective nursing. […] This study showed that the application of mHealth to carry out continuous nursing services can reduce the incidence of symptoms like nasal congestion, dry mouth, tinnitus, neck fibrosis, and difficulty in the opening mouth. […] This study showed that mHealth can be implemented for improving the CRF of patients at home by extending the care services in a highly significant manner.
- #1 Nasopharyngeal Cancer Treatment – San Diego – Scripps Healthhttps://www.scripps.org/services/cancer-care/nasopharyngeal-cancer-treatment
We are here for you not only as your oncologists, but as a robust multidisciplinary team of experts who understands that your cancer journey is about much more than your medical treatment. […] Specifically, Scripps Cancer Center offers a variety of patient support services to ensure your physical, psychological and emotional well-being as well as resources for dealing with the logistical and financial aspects of cancer care. […] Oncology nurses and nurse navigators with extensive clinical expertise in cancer care to help guide you and your caregivers to make informed decisions and ensure your optimal care. […] Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life. […] Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge.
- #1 Nasopharyngeal cancer treatment at GenesisCarehttps://www.genesiscare.com/uk/condition/cancer/head-and-neck-cancer/nasopharyngeal-cancer
We combine this with consultant-led integrative care, such as wellbeing therapies and psychological support, to help you achieve the best possible outcome. […] Our qualified physiotherapists and wellbeing consultants will carefully plan these therapies tailored to your needs by working with you and your consultant. […] Our compassionate nursing teams are available 24/7 on a dedicated on-call telephone service and can answer any queries during your treatment. […] Theyll be able to provide advice about side effects or symptoms and help arrange appropriate medical care when needed. […] As part of our unique and integrative approach to cancer care, you can expect the best possible care and a personalised treatment plan that includes access to life-changing therapies which are proven to improve cancer-related outcomes.
- #1 Childhood Nasopharyngeal Carcinoma | Dana-Farber Cancer Institutehttps://www.dana-farber.org/cancer-care/types/childhood-nasopharyngeal-carcinoma
Nasopharyngeal carcinoma is a rare cancer that arises in a childs nasal cavity and pharynx (throat). It is uncommon in children under age 10. Between 10 and 19, the incidence rises. […] At Dana-Farber/Boston Children’s Cancer and Blood Disorders Center, our pediatric cancer doctors have the expertise to treat children with rare cancers, such as nasopharyngeal cancer. When your child comes to us, theyll receive care from top specialists in the Rare Tumors Program, which is part of our Solid Tumor Center. […] Your childs medical team of pediatric cancer experts will suggest one of the following treatment options: […] After treatment, we continue to care for you and your family through our pediatric cancer survivorship programs. We provide ongoing check-ups and offer resources such as psychosocial counseling and support groups. […] We bring together a team of expert pediatric cancer specialists to treat children with nasopharyngeal carcinoma.
- #1 Nasopharyngeal Cancer | Duke Healthhttps://www.dukehealth.org/treatments/cancer/nasopharyngeal-cancer
We understand how difficult it is when your child is fighting cancer, so we try to make it easier on your entire family. Our child life experts can help explain procedures, offer encouragement, and arrange fun activities during a hospital stay. Our Teen and Young Adult Oncology Program brings together the expertise of pediatric and adult cancer specialists to determine what’s best for your child. We also offer outpatient services — such as chemotherapy, transfusions, and lab tests — 12 hours a day, seven days a week at Duke Children’s Valvano Day Hospital. This means your child won’t have to be admitted to the hospital just because they need treatment or feel ill on a day when their doctors office is closed. […] Once treatment is complete, you can count on us for continuing support. We offer long-term follow-up services for preventive health care, including screenings and ongoing surveillance.
- #1 Coping with nasopharyngeal cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/nasopharyngeal-cancer/living-with/coping
You might need some care and support at home due to nasopharyngeal cancer and its treatment. […] Your GP manages your healthcare when you are at home. They can help with any medical problems that come up. They can also make referrals to a community service for you. The availability of the different community services may vary depending on where you live. […] These nurses work in different places in your local area and may visit you in your home. They can: give medicines or injections, check temperature, blood pressure and breathing, clean and dress wounds, monitor or set up drips, give emotional support, teach basic caring skills to family members where needed, get special equipment such as hospital beds, special mattresses, commodes or bed pans. […] Community specialist palliative care nurses advise on pain control, sickness, and other cancer symptoms. These are, for example, Macmillan nurses or hospice nurses. They also give emotional support to both you and your carers.
- #1 Nasopharyngeal Cancer | Harold C. Simmons Comprehensive Cancer Center | Condition | UT Southwestern Medical Centerhttps://utswmed.org/conditions-treatments/nasopharyngeal-cancer/
UT Southwestern Medical Centers cancer specialists have extensive experience and training in nasopharyngeal cancer and other complex head and neck cancers. Our cancer care teams provide compassionate, expert care to diagnose and treat the disease, with supportive services to guide patients and their families through the treatment journey. […] At the Harold C. Simmons Comprehensive Cancer Center, we have teams of surgeons, doctors, nurses, and other providers who specialize in treating cancers of the head and neck. Our team for nasopharyngeal cancer care includes otolaryngologists (ear, nose, and throat specialists), radiation and medical oncologists, oral and reconstructive surgeons, physical and occupational therapists, and speech pathologists. […] Treatment options vary based on the stage of cancer, which includes its size, location, and whether it has spread. The main treatment for nasopharyngeal cancer is radiation therapy, often combined with chemotherapy.
- #1 A mHealth-based nursing model for assessing the health outcomes of the discharged patients with nasopharyngeal carcinoma: a pilot RCT | | Full Texthttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00993-0
The results showed that the scores of the 7 symptom areas of pain, swallowing, sensation, eating, language, social contact, and sexual function in the observation group were all lower than those in the control group after intervention. […] This study provided professional, continuous, and overall extended care for the discharged NPC patients by constructing the mHealth platform and implementing a continuous nursing scheme based on the patients needs. The mHealth-based nursing model can reduce the toxic and side effects of radiotherapy and cancer fatigue in patients with nasopharyngeal cancer, and improve the quality of life, proving to be a more suitable method for long-term chronic management.
- #2 Nasopharyngeal Cancer | Harold C. Simmons Comprehensive Cancer Center | Condition | UT Southwestern Medical Centerhttps://utswmed.org/conditions-treatments/nasopharyngeal-cancer/
UT Southwestern Medical Centers cancer specialists have extensive experience and training in nasopharyngeal cancer and other complex head and neck cancers. Our cancer care teams provide compassionate, expert care to diagnose and treat the disease, with supportive services to guide patients and their families through the treatment journey. […] At the Harold C. Simmons Comprehensive Cancer Center, we have teams of surgeons, doctors, nurses, and other providers who specialize in treating cancers of the head and neck. Our team for nasopharyngeal cancer care includes otolaryngologists (ear, nose, and throat specialists), radiation and medical oncologists, oral and reconstructive surgeons, physical and occupational therapists, and speech pathologists. […] Treatment options vary based on the stage of cancer, which includes its size, location, and whether it has spread. The main treatment for nasopharyngeal cancer is radiation therapy, often combined with chemotherapy.
- #2 Support for Nasopharyngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/nasopharyngeal-cancer/support
Doctors, nurses, physician assistants, social workers, and rehabilitation specialists at NYU Langones Perlmutter Cancer Center collaborate to provide support for people with nasopharyngeal cancer. They offer a variety of services throughout diagnosis and treatment and during follow-up appointments. […] Speech and swallowing therapists at NYU Langone can meet with you before treatment to discuss how therapies for nasopharyngeal cancer may affect your ability to speak and swallow. […] Your doctor may recommend that you see an NYU Langone dentist before, during, and after treatment, because radiation therapy for nasopharyngeal cancer can sometimes cause dry mouth, resulting in tooth decay. […] Because nasopharyngeal cancer and its treatments often cause swallowing problems, you may need a nutritional assessment and dietary plan. Nutritionists at Perlmutter Cancer Center can help ensure you are getting the nutrients you need in easy-to-swallow foods throughout treatment and recovery.
- #2 Nasopharyngeal Cancer | Harold C. Simmons Comprehensive Cancer Center | Condition | UT Southwestern Medical Centerhttps://utswmed.org/conditions-treatments/nasopharyngeal-cancer/
Our treatment options for nasopharyngeal cancer include: Radiation therapy: Our doctors often use radiation, treatment with high-energy waves such as X-rays or gamma rays, for nasopharyngeal cancer because it is very sensitive to radiation. […] We sometimes perform surgery if nasopharyngeal tumors do not respond to radiation therapy. Surgery is also effective if cancer has spread to nearby lymph nodes or other tissues in the neck. […] For patients who are having radiation therapy for nasopharyngeal cancer, we recommend having any necessary dental work done before treatment. Radiation treatment slows healing and can cause other side effects. […] We offer a variety of head and neck cancer support services for patients and their families, such as: Oncology rehabilitation, Integrative therapies, Nutrition counseling, Support groups. […] As a medical research institution, UT Southwestern frequently conducts head and neck cancer clinical trials, giving our patients access to the newest treatments. Patients should speak with their doctors about the availability of clinical trials.
- #2 Follow-up after treatment for nasopharyngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/nasopharyngeal/treatment/follow-up
During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping. […] Tests are often part of follow-up care. You may have: imaging tests such as CT, MRI or PET-CT scans to check if the cancer has spread, vision and hearing tests, blood tests to check thyroid function once or twice a year, a blood test to check for the presence of the Epstein-Barr virus (EBV) antibodies, speech and swallowing tests to check on your recovery, dental exams to check for cavities, a chest x-ray to check if the cancer has spread to the lungs, nasopharyngoscopy or panendoscopy to look at the original tumour site and other areas in the throat and to biopsy any abnormal areas. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #2 Nasopharyngeal Cancer | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/cancer/nasopharyngeal-cancer.html
Nasopharyngeal cancer is a type of nose and throat cancer that develops in the nasopharynx, the upper part of the throat behind the nose. Stanford Health Care’s nasopharyngeal cancer program is one of the largest and most active in North America. Our cancer doctors are experts in treating all types and stages of nasopharyngeal cancer with excellent outcomes. […] If the cancer is confined to the nasopharynx or neck lymph nodes, treatment can usually cure it. […] Learning what stage your cancer is in helps you and your doctor make decisions about your treatment plan. This information also helps your doctor determine your prognosis (probable outcome based on the experience of others). […] We conduct a thorough evaluation to diagnose nasopharyngeal cancer. Your doctor asks about your medical history, completes a physical exam, and may recommend specific tests. […] Before and during treatment, we take small samples of your blood to test in the lab. Blood tests provide information about your health and help us monitor any potential side effects of nasopharyngeal cancer treatment.
- #2 Nasopharyngeal – Maryland Oncology Hematologyhttps://marylandoncology.com/nasopharyngeal-cancer/
Radiation Therapy is usually used as part of the initial treatment of nasopharyngeal cancers if the cancer has not spread outside of the head and neck region. It may also be used with or after chemotherapy, or to help with cancer symptoms. […] Chemotherapy is often used along with radiation therapy as the main treatment for more advanced stages of nasopharyngeal cancer. It can be used as the first treatment before radiation, at the same time as radiation to increase the effectiveness of the radiation, or after radiation. It is also used to treat symptoms and recurrent cancer. […] Surgery for nasopharyngeal cancer is usually done to remove lymph nodes in the neck that have not responded to other treatments.
- #2 Nasopharyngeal cancerhttps://www.nhs.uk/conditions/nasopharyngeal-cancer/
It can be used on its own to treat very early-stage cancers, or in combination with chemotherapy for more advanced cancers. […] Most of the time, external radiotherapy is used. A machine focuses high-energy radiation beams on to the area that requires treatment. […] In nasopharyngeal cancer, an advanced form of external radiotherapy called intensity-modulated radiation therapy (IMRT) is used. […] It involves aiming radiation beams of different strengths at a tumour from several different angles. This maximises the dose delivered to the tumour, while minimising the effect on the surrounding healthy tissue. […] Sometimes, internal radiotherapy may be needed if nasopharyngeal cancer has returned after initial treatment. […] Depending on the type of treatment you have, you may need to stay in hospital for a short period of time.
- #2 Common Nursing Methods for Nasopharyngeal Cancer | Modern Cancer Hospital Guangzhou, Chinahttps://www.asiancancer.com/en/cancer-healthcare/cancer-nursing/4445.html
3. Pay attention to patients mental nursing, release their fear and tension and help them to prepare for the long fighting with cancer. Moreover, patients should follow doctors advices and take treatments actively. […] 4. Nasopharyngeal cancer patients have to breathe through his mouth in that the tumor is located in the upper part of the nasal cavity, as a result, the water in patients oral cavity evaporate rapidly and patients saliva reduces. Radiotherapy may also reduce saliva. Therefore, patients should be given more water, dark plum or vitamin C to make sure that there is enough saliva for them. […] 5. Pay attention to functional training. Patients should do more exercises like turning the neck, clicking teeth, pouching the check, smiling, opening the mouth. Patients with radioactive pharyngitis should use gargle after meal and before sleeping. […] 6. To keep a good living habit. In the aspect of diet nursing, nasopharyngeal cancer patients should quit smoking and drinking; eat more foods with high protein and fiber instead of cold, hard and overheating food.
- #2 Nasopharyngeal cancerhttps://www.nhs.uk/conditions/nasopharyngeal-cancer/
Radiotherapy itself is painless, but it can have some significant side effects, such as: red and sore skin in the treatment area, feeling sick, changes to your sense of taste, dry mouth, hair loss. […] These side effects are usually temporary, but some can be permanent. Let your care team know if you have these problems, as treatment is often available to help. […] Chemotherapy may be used before or alongside radiotherapy for more advanced nasopharyngeal cancers. […] You should discuss any concerns you have about the potential side effects of treatment with your care team before treatment begins. […] After your course of treatment ends, you’ll need to have regular follow-up appointments and scans to monitor your recovery and check for any signs of the cancer returning.
- #2 Nasopharyngeal Cancer Follow-up: Further Outpatient Care, Further Inpatient Care, Inpatient & Outpatient Medicationshttps://emedicine.medscape.com/article/988165-followup
As many children develop endocrine abnormalities after treatment, screening testing for hypothyroidism, growth hormone deficiency, and adrenal axis disorders should occur on a frequent basis after the completion of therapy. […] Certain types of chemotherapy will need to be administered on an inpatient basis. […] Patients who develop febrile neutropenia need to be admitted for intravenous antibiotics. The antibiotic regimen usually consists of an antipseudomonal cephalosporin, with or without an aminoglycoside (especially in the context of renal dysfunction seen in patients receiving platinum-based chemotherapy) and/or an antistaphylococcal coverage. […] Severe cases of malnutrition and dehydration may require inpatient management with support from a pediatric nutritionist. […] Routine medications are not often administered and depend on treatment-related symptomatology.
- #2 After nasopharyngeal cancer surgery | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/nasopharyngeal-cancer/treatment/surgery/after
Your surgeon and nurses will check your wound regularly to make sure it is healing well. If you have a skin graft or flap there is a risk that it may break down and not heal properly. They also check for signs of infection. […] Your healthcare team will be very careful to protect your wound from infection. […] Your nurse puts liquid food down the tube to keep you nourished. The hospital dietitian will visit you regularly. […] Your physiotherapist shows you how to do breathing and leg exercises and checks you regularly. […] Your dietitian will guide you on this. […] Let your dietician or nurse know if you find that you are not eating well or off your food. They can help in lots of ways. […] Your nurses and physiotherapists help you to move around as soon as possible, usually from the day after your operation.
- #2 Follow-up after treatment for nasopharyngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/nasopharyngeal/treatment/follow-up
Follow-up after treatment is an important part of cancer care. Follow-up for nasopharyngeal cancer is often shared among the cancer specialists (radiation oncologist, medical oncologist and head and neck surgeon) and your family doctor. Your healthcare team for follow-up care may also include a speech therapist and a dentist. Your healthcare team will work with you to decide on follow-up care to meet your needs. […] The chance that nasopharyngeal cancer will come back (recur) is greatest within 2 years. But there is a risk that it can come back up to 7 years after treatment, so you will need close follow-up during this time. […] Follow-up visits for nasopharyngeal cancer are usually scheduled every 2 to 3 months for the first 3 years after treatment and then less often. Regular follow-up visits usually continue for up to 7 years because of the risk of a late recurrence.
- #2 Nasopharyngeal Cancer Follow-up: Further Outpatient Care, Further Inpatient Care, Inpatient & Outpatient Medicationshttps://emedicine.medscape.com/article/988165-followup
Radiation therapy is often administered on an outpatient basis. Follow-up is necessary after all radiation and chemotherapy has been administered. […] Patients are evaluated every 3 months during the first year and every 6 months during the second and third years after treatment. Thereafter, follow-up is necessary every year. […] Physical examination and a detailed history should be performed with each visit. […] Imaging of the head and neck (CT or MRI), CT of the chest, and bone scan/positron emission tomography (PET) (if positive at distant metastatic sites at diagnosis) are usually performed every 3 months for the first year and then every 6 months for the next 2 years after therapy is completed to assess response. […] A dental examination prior to radiotherapy and on a routine basis after therapy is recommended because of the possibility of caries and poor dental hygiene. Osteonecrosis of the mandible is a rare complication of radiotherapy and is often avoided with proper dental care.
- #2 A mHealth-based nursing model for assessing the health outcomes of the discharged patients with nasopharyngeal carcinoma: a pilot RCT | | Full Texthttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00993-0
Therefore, this study conforms to the development needs of the times for building a continuous care management platform for the NPC patients with functions such as questioning, video playback, graphic editing, knowledge push, questionnaire statistics, and message reminders, which would provide the NPC patients with immediate care without leaving home services and overcome the limitations of current community conditions and the shortcomings of the hospital services. […] The toxic and side effects of radiotherapy were found to be alleviated by effective nursing. […] This study showed that the application of mHealth to carry out continuous nursing services can reduce the incidence of symptoms like nasal congestion, dry mouth, tinnitus, neck fibrosis, and difficulty in the opening mouth. […] This study showed that mHealth can be implemented for improving the CRF of patients at home by extending the care services in a highly significant manner.
- #2 Support for Nasopharyngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/nasopharyngeal-cancer/support
Sometimes radiation therapy and open surgery for nasopharyngeal cancer can cause stiffness in the face, jaw, neck, and shoulder muscles. […] Radiation therapy and surgery for nasopharyngeal cancer involving the lymph nodes of the neck may cause scar tissue in nearby lymph vessels. […] Neuropathy is a condition in which nerves are damaged. This causes numbness, tingling, pain, and weakness, most often in the hands and feet. It may be a side effect of the chemotherapy drugs used to manage nasopharyngeal cancer. […] If you are experiencing fatigue from the cancer or its treatment, our doctors may recommend that you receive physical and occupational therapy at Rusk Rehabilitation. […] Social workers at NYU Langone are available throughout your diagnosis, treatment, and follow-up care to help you cope with any financial matters or logistical challenges, such as traveling to your medical appointments, that may arise. […] The supportive care team at Perlmutter Cancer Center provides ongoing therapy for any cancer- or treatment-related discomfort, such as pain, fatigue, loss of appetite, or stress, helping to improve quality of life.
- #2 Nasopharyngeal Cancer | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/throat-cancer/nasopharyngeal-cancer.html
Reconstructive surgery: Throat cancer treatment can impact a patient’s appearance. […] Dental care: The teeth and jaw of throat cancer patients can be damaged by the disease and its treatments. […] Regular follow-up and screenings are vital due to the high risk of throat cancer returning to the throat or other areas in the head and neck region. […] Throat cancer patients are also strongly urged not to smoke or drink alcohol during and after treatment. […] At MD Anderson, you will get care from a multidisciplinary team of nasopharyngeal cancer specialists, including a medical oncologist, radiation oncologist, and surgical oncologist. […] Care for nasopharyngeal patients at MD Anderson goes far beyond these therapies. […] You may get occupational, physical, and speech therapy. […] MD Anderson also offers dedicated survivorship care for nasopharyngeal cancer patients. […] From support groups to counseling to integrative medicine care, we have all the services needed to treat not just the disease, but the whole person.
- #2 Nasopharyngeal Cancer Treatment – San Diego – Scripps Healthhttps://www.scripps.org/services/cancer-care/nasopharyngeal-cancer-treatment
We are here for you not only as your oncologists, but as a robust multidisciplinary team of experts who understands that your cancer journey is about much more than your medical treatment. […] Specifically, Scripps Cancer Center offers a variety of patient support services to ensure your physical, psychological and emotional well-being as well as resources for dealing with the logistical and financial aspects of cancer care. […] Oncology nurses and nurse navigators with extensive clinical expertise in cancer care to help guide you and your caregivers to make informed decisions and ensure your optimal care. […] Palliative care to provide an extra layer of supportive care to manage pain and relieve symptoms, offer emotional and spiritual support, and improve your quality of life. […] Oncology social workers specially trained to provide counseling, connect you with community and medical resources, assist with transportation and housing and coordinate care after discharge.
- #2 Common Nursing Methods for Nasopharyngeal Cancer | Modern Cancer Hospital Guangzhou, Chinahttps://www.asiancancer.com/en/cancer-healthcare/cancer-nursing/4445.html
Common Nursing Methods for Nasopharyngeal Cancer […] Expert from Modern Cancer Hospital Guangzhou introduces common nursing methods for nasopharyngeal cancer and hopes that patients can pay attention to these methods. […] 1. Pay attention to prevention of cold, sphagitis, otitis media. Dental care including tooth extraction, tooth inserting, and dental filling are not allowed within 3 years after radiotherapy. Infections of nose, ear, eyes and oral cavity should be treated in time, like rinsing with antibiotic medicine and special solution. […] 2. Protect the skin region where was performed radiotherapy. Scratching, scrubbing with irritant liquids or exposing to the sun is not allowed. Patients should wear loose-fitting cotton clothes, and pay attention to the protection of the skin region.
- #2 A mHealth-based nursing model for assessing the health outcomes of the discharged patients with nasopharyngeal carcinoma: a pilot RCT | | Full Texthttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00993-0
This study is based on the mHealth continuous nursing intervention model, which can reduce the side effects of radiotherapy and cancer fatigue, and improve the quality of life. […] Therefore, this study mainly focused on optimizing the therapeutic resources to help hospitals in providing the patients with high-quality, effective, convenient, and rapid continuation of nursing services for ameliorating the current situation of unbalanced development of medical resources. […] The mobile internet technology has introduced a brand-new improvised mode for stay-at-home and instant medical care, promoting medical knowledge sharing and doctor-patient or nurse-patient interaction, improving the level of hospital clinical nursing information construction at a deeper level, and diversifying the work of nurses.
- #2 A mHealth-based nursing model for assessing the health outcomes of the discharged patients with nasopharyngeal carcinoma: a pilot RCT | | Full Texthttps://bmcnurs.biomedcentral.com/articles/10.1186/s12912-022-00993-0
The results showed that the scores of the 7 symptom areas of pain, swallowing, sensation, eating, language, social contact, and sexual function in the observation group were all lower than those in the control group after intervention. […] This study provided professional, continuous, and overall extended care for the discharged NPC patients by constructing the mHealth platform and implementing a continuous nursing scheme based on the patients needs. The mHealth-based nursing model can reduce the toxic and side effects of radiotherapy and cancer fatigue in patients with nasopharyngeal cancer, and improve the quality of life, proving to be a more suitable method for long-term chronic management.
- #2 Nasopharyngeal Cancer Treatment – San Diego – Scripps Healthhttps://www.scripps.org/services/cancer-care/nasopharyngeal-cancer-treatment
Our registered dietitian nutritionists offer individualized nutrition support for patients whose efforts to optimize their nutrition may be affected by cancer symptoms or treatment side effects. […] Physical rehabilitation and occupational therapy services, including wound care, voice therapy and swallowing therapy, lymphedema therapy, balance and vestibular rehabilitation, yoga and more.
- #2 Nasopharyngeal cancer treatment at GenesisCarehttps://www.genesiscare.com/uk/condition/cancer/head-and-neck-cancer/nasopharyngeal-cancer
These therapies will be tailored to you to help you manage and cope with your cancer as well as the specific side effects of treatment. […] Our dedicated cancer centres are convenient and easy-to-access. […] Every patient is also supported through their journey with life-changing therapies, such as exercise medicine and psychological support.
- #2 Nasopharyngeal Cancer | Duke Healthhttps://www.dukehealth.org/treatments/cancer/nasopharyngeal-cancer
Nasopharyngeal cancers are malignant tumors that develop in the upper part of the throat and behind the nose (doctors call this area the nasopharynx), near the base of the skull. […] At Duke, our experienced nasopharyngeal cancer team includes cancer specialists, skull base tumor experts, ENT (ear, nose, and throat) doctors, head and neck surgeons, speech therapists, and others who work together to provide you or your child with complete care. […] Our social workers help you navigate the medical system and coordinate the health services you or your child needs. They can help you work with insurance providers, connect you with support resources, and manage details related to your care. Our nurse coordinators also help you schedule appointments for tests, treatments, and related medical visits.
- #2 Childhood Nasopharyngeal Carcinoma | Dana-Farber Cancer Institutehttps://www.dana-farber.org/cancer-care/types/childhood-nasopharyngeal-carcinoma
Nasopharyngeal carcinoma is a rare cancer that arises in a childs nasal cavity and pharynx (throat). It is uncommon in children under age 10. Between 10 and 19, the incidence rises. […] At Dana-Farber/Boston Children’s Cancer and Blood Disorders Center, our pediatric cancer doctors have the expertise to treat children with rare cancers, such as nasopharyngeal cancer. When your child comes to us, theyll receive care from top specialists in the Rare Tumors Program, which is part of our Solid Tumor Center. […] Your childs medical team of pediatric cancer experts will suggest one of the following treatment options: […] After treatment, we continue to care for you and your family through our pediatric cancer survivorship programs. We provide ongoing check-ups and offer resources such as psychosocial counseling and support groups. […] We bring together a team of expert pediatric cancer specialists to treat children with nasopharyngeal carcinoma.
- #2 Coping with nasopharyngeal cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/nasopharyngeal-cancer/living-with/coping
Marie Curie nurses give nursing care to people with advanced cancer in their own homes. They can visit during the day or spend the night in your home to give your carers a break. […] Social workers can help to support you with your situation at home. They can arrange home helps to help with shopping or housework, home care assistants for washing and dressing, meals on wheels, respite care. […] Your social worker can also help with money matters by checking you get all the benefits you are entitled to. Or they can advise you about charity grants for things like extra heating costs or special diets. […] Help and support is available. It might help you to share your worries or sense of loss with others who have been through similar experiences. Ask your nurse if they run a head and neck cancer support group in the hospital. You could also get in touch with one of the organizations that support people with head and neck cancer.
- #2http://www.singhealth.com.sg/news/defining-med/npc-singapore
Primary care physicians play an important role in survivorship care. Some common issues that primary care physicians should pay attention to are listed in Table 4. […] NPC is not uncommon in Singapore. Primary care physicians play an important role in early detection of the cancer, managing comorbidities during treatment as well as looking after patients after the end of their treatment.