It is possible for recurrent nasopharyngeal cancer to metastasize to the occipital slope, but care should be taken to rule out other problems as well. Nasopharyngeal cancer has a similar metastatic pathway as the majority of cancers, and can usually metastasize through local spread, lymph node spread, and blood spread. When nasopharyngeal cancer recurs, it may metastasize to the occipital slope through lymph node spread and blood spread. Generally, lymph node and blood transmission mostly metastasize to lungs, bones, liver, etc. Bones are mostly long bones and spinal bones, and very rarely intracranial bone metastases occur, but there is still this possibility, so it is not ruled out that occipital slope tumor is metastasized from nasopharyngeal carcinoma. However, some other problems should also be excluded, such as the tumor of occipital slope itself, or caused by other tumors metastasized to occipital slope, and it is recommended that the patient should seek medical treatment in time and cooperate with the doctor for examination.