Does chemotherapy treat nasopharyngeal cancer?

Chemotherapy circulates through the body, while radiotherapy targets the tumour and nearby areas more directly. Using them together can strengthen treatment in selected patients, although the sequence and medicines depend on the extent of cancer and general health.

Chemotherapy may be given before radiotherapy, during the radiotherapy course, or afterward. It can also be used when nasopharyngeal cancer has returned or spread beyond the head and neck. Each setting has a different aim and may use a different combination of medicines.

The plan takes account of scans, tumour extent, kidney function, hearing, nutrition, previous treatment and ability to manage combined side effects. The team may include medical and radiation oncologists, an ear, nose and throat specialist, dietitians, dentists and speech or swallowing therapists.

Ask whether dental, hearing and kidney assessments are needed before treatment. Report difficulty swallowing, weight loss, reduced fluid intake, hearing changes and all medicines or supplements. Early nutrition and mouth-care support can make treatment easier to continue.

During therapy, follow the provided mouth-care routine and tell the team if soreness, thick saliva, altered taste or nausea interferes with eating and drinking. Do not wait for the next scheduled visit if symptoms are worsening; medicines and nutrition support may need adjustment.

Contact the treatment unit promptly for fever or other signs of infection, following its specific instructions. Get urgent help for trouble breathing, inability to swallow liquids or saliva, heavy bleeding, collapse, new confusion or symptoms of a severe allergic reaction.

Repeated vomiting, very little urine, marked dizziness or increasing drowsiness can signal dehydration or another complication and should be assessed quickly. Sudden neurological changes, including a seizure, new weakness or difficulty speaking, require emergency care.

Ask why chemotherapy is being given at this point, whether it will overlap with radiotherapy, how kidney function and hearing will be monitored, and what support is available for swallowing and nutrition. Confirm the after-hours contact route and the symptoms that should trigger a same-day call.