1. Migraine. About 1/3 of the patients have severe headache with fixed location, and pain relievers are ineffective. The headache is caused by the invasion or compression of cranial nerve by cancer tissue.
2.Unilateral nasal congestion. It is not obvious in the early stage, and shows progressive aggravation with the growth of tumor. It is different from cold, which manifests as unilateral nasal congestion, and anti-cold treatment is ineffective.
3.Single ear symptoms. If the tumor enlarges and invades the eustachian tube, it may cause otitis media, causing pain in the ear, tinnitus and hearing loss.
4. Nasal bleeding. Blood in the nose is often a signal of nasopharyngeal cancer.
5. Diplopia. Because the tumor invades the abducens nerve, it often causes double vision to the outside. Invasion of the talocrural nerve often causes inward strabismus and diplopia, and diplopia accounts for 6.2% to 19%. It is often damaged at the same time with trigeminal nerve.
6. Facial numbness. It refers to the numbness of facial skin, and the clinical examination is that the pain and touch sensation is reduced or disappeared. Tumor invading the cavernous sinus often causes damage to the 1st or 2nd branch of trigeminal nerve. Facial skin numbness accounts for 10% to 27.9%.
7. Nasal congestion. Nasal congestion can occur after the nostril is blocked by tumor. When the tumor is small, the nasal congestion is lighter, and as the tumor grows, the nasal congestion will increase, mostly unilateral nasal congestion. If the tumor blocks bilateral posterior nostrils, bilateral nasal congestion may occur. (VII) Cervical lymph node metastasis symptoms Nasopharyngeal carcinoma is prone to cervical lymph node metastasis, about 60.3% to 86.1%, half of which are bilateral metastasis. Cervical lymph node metastasis is often the first symptom of nasopharyngeal cancer (23.9%~75%). In a few patients, nasopharyngeal examination cannot detect the primary lesion, and lymph node metastasis in the neck is the only clinical manifestation. This may be related to the fact that the primary lesion of nasopharyngeal cancer is small and expands into the submucosal tissue.
8. Atrophy of tongue muscles and tongue extension deviation. Direct invasion or lymph node metastasis of nasopharyngeal carcinoma to the posterior region of the caudate or sublingual nerve canal. The invasion of the sublingual nerve causes tongue extension deviation to the diseased side, accompanied by tongue muscle atrophy on the diseased side.
9. Eye risk ptosis and eye fixation. It is related to the damage of the motoneurotic nerve. Visual loss or loss of vision is associated with optic nerve damage or orbital cone invasion.
10.Distant metastasis. The rate of distant metastasis of nasopharyngeal carcinoma ranges from 4.8% to 27%. Distant metastasis is one of the main reasons for treatment failure of nasopharyngeal carcinoma. The common metastatic sites are bone, lung, liver, etc. Simultaneous metastasis of multiple organs is common.
11. Associated dermatomyositis. Dermatomyositis can also accompany with nasopharyngeal cancer, so patients with dermatomyositis should be carefully examined in the nasopharynx regardless of whether they have symptoms of nasopharyngeal cancer.
12.Menopause. It is very rare as the first symptom of nasopharyngeal carcinoma and is related to the invasion of nasopharyngeal carcinoma into the butterfly sinus and pituitary gland.
Therefore, if you find that your family members or friends have these symptoms, you should pay attention to them and go to ENT department for consultation at the first time, instead of going to the clinic to take the so-called anti-inflammatory drugs or traditional Chinese medicine so as not to miss the treatment time.