NOTE

🌱 created from: nasopharyngeal_carcinoma

diagnosis_workup_of_nasopharyngeal_carcinoma

• Sx: Nasal obstruction/epistaxis, HA, enlarged cervical LN, otitis media (eustachian tube obstruction), diplopia, facial numbness/paresthesias (invasion of cavernous sinus—CN III, IV, V1–3, VI)
• H&P: W/ nasopharyngeal exam; mirror & fiberoptic exam
• Imaging: MRI ± CT w/ contrast of nasopharynx, base of skull to clavicles. Body contrast CT or PET-CT when advanced neck dz is present
• Bx: Nasopharyngeal bx
• Multidisciplinary care: Dental evaluation, nutrition, speech, & swallow evaluation, audiogram before starting plat-based chemo