Swellings in the nasopharynx can be treated conservatively, that is, by nebulized inhalation, or surgically. However, it is necessary to identify the nature of the mass, whether it is benign or malignant. In general, benign nasopharyngeal masses include adenoid hyperplasia and lymphoid follicular hyperplasia. Adenoid hyperplasia is mostly seen in children, while lymphoid follicular hyperplasia is mostly seen in patients with chronic rhinopharyngitis. They are both found in the nasopharynx as light red, smooth, orange petal-like neoplasms that are soft, painless, and generally do not bleed easily, and the patient will have symptoms related to nasal congestion, pain and dryness in the throat and nasopharynx. Local pathology needs to be taken, and if it is adenoid hypertrophy or lymphoid follicular hyperplasia, it can be treated conservatively with nebulized inhalation of budesonide twice daily to see if there is an effect. If there is no effect after one month, surgical treatment is proposed. In contrast, malignant tumors in the nasopharynx, including nasopharyngeal carcinoma and malignant lymphoma, will be found to have cauliflower-like neoplasm or crater-like ulcers in the nasopharynx, preferably in the top of the nasopharynx and the pharyngeal crypt, in the treatment of which local pathology will be taken and then radiotherapy and chemotherapy will be administered, while conservative treatment is ineffective.