Stage IV nasopharyngeal carcinoma is an advanced stage, and many of them have distant metastases, which is difficult to be completely cured. Surgery is rarely used for nasopharyngeal cancer, especially for stage IV nasopharyngeal cancer, which is definitely inoperable, but local radiotherapy can be done for the primary lesion of nasopharyngeal cancer. In addition, according to the patient’s physical condition, systemic chemotherapy can also control the development of the disease and prolong the survival period, but complete cure is not possible. Nasopharyngeal cancer is a very common malignant tumor of the head and neck, which may be related to EBV infection and has the phenomenon of geographic and familial clustering, with a higher incidence in the south than in the north.