What Is The Best Form Of Treatment For Nasopharyngeal Carcinoma?
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Thu, 12 Apr 2018
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Thu, 12 Apr 2018
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Thu, 3 Aug 2023
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : I have been recently diagnosed with nasopharyngeal carcinoma. I am providing the link to my dropbox folder including the doctor's findings and treatment suggestions. 
I work in Saudi Arabia and came to Pakistan (which is my home country) for my vacation. Coincidentally, my diagnosis came during my vacation time. I want to ask the following question:
Which is a better country to get the treatment? Pakistan or Saudi Arabia?
Is there a better option for me then the treatment suggested by my doctor?
My doctor also recommended to put a PEG before starting the treatment by saying that during the treatment you will a lot of swelling in the mouth and would be difficult to eat or drink anything, therefore to keep you healthy, you must put PEG. I want to avoid this, can I refuse the doctor not to put a PEG, and what could be the circumstances?
Thanks
https://www.xxxx.com/0000/XXXX
                            I work in Saudi Arabia and came to Pakistan (which is my home country) for my vacation. Coincidentally, my diagnosis came during my vacation time. I want to ask the following question:
Which is a better country to get the treatment? Pakistan or Saudi Arabia?
Is there a better option for me then the treatment suggested by my doctor?
My doctor also recommended to put a PEG before starting the treatment by saying that during the treatment you will a lot of swelling in the mouth and would be difficult to eat or drink anything, therefore to keep you healthy, you must put PEG. I want to avoid this, can I refuse the doctor not to put a PEG, and what could be the circumstances?
Thanks
https://www.xxxx.com/0000/XXXX
                                    Brief Answer:
Nasopharingeal cancer
Detailed Answer:
Hi,
The therapy can be done in both countries, depending on where you will feel more comfortable. The doctors are scientifically well prepared in both of those countries.
The treatment proposed by the doctor is right and I agree with it.
  
The use of PEG during therapy would make it easier for you and you will have better quality of life,but this will be your choice and you can refuse it if you do not feel comfortable with it.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Esmeralda Sera
Oncologist
                                    
                            Nasopharingeal cancer
Detailed Answer:
Hi,
The therapy can be done in both countries, depending on where you will feel more comfortable. The doctors are scientifically well prepared in both of those countries.
The treatment proposed by the doctor is right and I agree with it.
The use of PEG during therapy would make it easier for you and you will have better quality of life,but this will be your choice and you can refuse it if you do not feel comfortable with it.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Esmeralda Sera
Oncologist
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Remy Koshy
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hi
Thanks for your kind consideration and taking time to answer my question. I am not sure if you have gone through the dropbox link where I have uploaded the CT Scan CD and the report. They have mentioned about enlarged lymph nodes. Is this a bit concerning? Do you think chemo is not required in my therapy?
I am also attaching the CT scan report and including the dropbox link to the CD. Please have a look at it and let me know what do consider about it.
Thanks
Zia
https://www.xxxx.com/0000xxxx
                            Thanks for your kind consideration and taking time to answer my question. I am not sure if you have gone through the dropbox link where I have uploaded the CT Scan CD and the report. They have mentioned about enlarged lymph nodes. Is this a bit concerning? Do you think chemo is not required in my therapy?
I am also attaching the CT scan report and including the dropbox link to the CD. Please have a look at it and let me know what do consider about it.
Thanks
Zia
https://www.xxxx.com/0000xxxx
                                    Brief Answer:
Nasopharingeal cancer
Detailed Answer:
Hi,
I see the analysis reports again. The final report does not classify the lymph nodes as pathological
Your stage is T2N0M0, thats mine that you have not to be concerned for your enlarged lymph nodes.
In your case concurrent Chemo-radiotherapy is the best choice
The naso pharyngeal cancer in your stage has very good prognoses.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Esmeralda Sera
Oncologist
                                    
                            Nasopharingeal cancer
Detailed Answer:
Hi,
I see the analysis reports again. The final report does not classify the lymph nodes as pathological
Your stage is T2N0M0, thats mine that you have not to be concerned for your enlarged lymph nodes.
In your case concurrent Chemo-radiotherapy is the best choice
The naso pharyngeal cancer in your stage has very good prognoses.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Esmeralda Sera
Oncologist
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Remy Koshy
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Ok, Thanks for explaining this question. Though, I heard this term first time "very good prognoses". Please explain this, what does it mean.
Thanks
Zia
                            Thanks
Zia
                                    Brief Answer:
Nasopharingal cancer
Detailed Answer:
Hello,
I mean good outlook and good survival rate.
Hope I have answered your query.
Regards,
Dr. Esmeralda Sera
Oncologist
                                    
                            Nasopharingal cancer
Detailed Answer:
Hello,
I mean good outlook and good survival rate.
Hope I have answered your query.
Regards,
Dr. Esmeralda Sera
Oncologist
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Remy Koshy
                                  
                              
                                         
 
                                    
                                    
                                Answered by
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
                        
                                
                                