Nasopharyngeal cancer metastasis to cervical lymph nodes may be in stage II or III if it is only localized metastasis, and the 5-year survival rate is about 76%-87%. If it is accompanied by metastasis to other parts at the same time, then it belongs to stage IV, and the survival rate will be significantly decreased. If nasopharyngeal cancer metastasizes to the lymph nodes in the neck, it may be in stage II or III, and the 5-year survival rate is 87% for stage II and 76% for stage III respectively. In this period, the treatment mainly takes surgical resection plus cervical lymph node dissection, together with chemotherapy, radiotherapy, immunotherapy, targeted drug therapy and biological therapy. If accompanied by multiple lymph node metastasis or distant organ metastasis, then it will be stage IV, and the survival rate will be significantly reduced, and at this time, it is no longer suitable for surgical treatment, and more radiotherapy, targeted drugs or immunotherapy will be adopted. If nasopharyngeal cancer has metastasized to neck lymph nodes, it is recommended to go to the hospital in time to get a clear diagnosis and active treatment, so as to avoid delaying the condition.