Many patients are afraid of lymphoma, worrying about how long they have to live. So, what are the symptoms of malignant lymphoma of the nasal cavity and sinuses? How is it treated effectively?
Nasal cavity malignant lymphoma is a relatively rare type of malignant lymphoma. Our department has treated approximately 40 cases in recent years. Previously, its nomenclature was quite complex, but now it is believed that EB virus infection is significantly related to its onset. The main symptoms include unilateral nasal congestion, clear nasal discharge, nasal odor, and a mass in the neck. Unlike tonsillar malignant lymphoma, it is a T/NK cell malignant lymphoma and has been classified as a separate type of malignant lymphoma.
Treatment options for malignant lymphoma of the nasal cavity and sinuses include:
1. Radiation therapy. Radiation therapy has a very limited therapeutic effect on lymphoma and is only suitable for stage I and II patients. The dose and range of radiation depend on the cell and tissue type, and the general dose is 3000-5000 cGy.
2. Combination chemotherapy. This is the main treatment for malignant lymphoma. For patients in clinical stages II, III, and IV, the appropriate combination chemotherapy regimen is selected based on the histological type, the patient's age, and whether there are complications such as heart, liver, kidney, or lung diseases.
3. Surgical Treatment. Surgery for intranodal malignant lymphoma is primarily used for biopsy for pathological examination or for staging exploratory laparotomy. For extranodal malignant lymphoma originating in the brain, spinal cord, orbit, salivary glands, thyroid, lungs, liver, spleen, etc., surgical resection is often performed first, followed by radiotherapy and/or chemotherapy. Malignant lymphoma originating in the kidneys, bladder, testes, ovaries, uterus, skin, breast, etc., early surgical resection is recommended, followed by chemotherapy and/or radiotherapy.
Lymphoma patients should avoid contaminated food and eat more green and organic foods to prevent illness from entering through the mouth. They should not eat too much salty or spicy food, nor should they eat food that is too hot, too cold, expired, or spoiled. Elderly, frail individuals, or those with a genetic predisposition to certain diseases should consider eating some cancer-preventive foods and alkaline foods with high alkaline content, and maintain a good mental state.