It is recommended that patients should actively go to hospital for further examination. Clinically, CT of sinus and nasopharynx should be completed to determine whether there is intracranial invasion of nasopharyngeal cancer, and ultrasound of neck should be completed to determine the number and size of lymph node metastasis, CT of lung to determine whether there is lung metastasis, ultrasound of liver, gallbladder and spleen to determine whether there is liver metastasis. It is also necessary to improve lung CT to determine whether there is lung metastasis, liver, biliary and spleen ultrasound to determine whether there is liver metastasis, and even bone scan to determine whether there is bone metastasis. It is best to carry out synchronous radiotherapy and chemotherapy for mid- to late-stage nasopharyngeal carcinoma. The effect of radiotherapy alone may not be very good, and for patients with partial residual or recurrence after treatment, we can consider going to a tertiary hospital for surgery. Patients who receive radiotherapy can also be treated symptomatically with traditional Chinese medicine, which may also have certain effect. All in all, nasopharyngeal carcinoma metastasizing to the lymph nodes in the neck may be in the middle or late stage, and patients are advised to seek medical consultation as soon as possible to avoid further spread of disease.