Treatments for nasopharyngeal cancer

If you have nasopharyngeal cancer, your healthcare team will create a treatment plan just for you. It will be based on your health and specific information about the cancer. When deciding which treatments to offer for nasopharyngeal cancer, your healthcare team will consider:

  • the stage of the cancer
  • the location of the cancer
  • your age and overall health
  • what you prefer or want

Expert review and references

  • PDQ® Adult Treatment Editorial Board. Nasopharyngeal Cancer Treatment (Adult) (PDQ®) – Health Professional. Bethesda, MD: National Cancer Institute; 2022: https://www.cancer.gov/.
  • American Cancer Society. Treating Nasopharyngeal Cancer. 2022.
  • Bossi P, Chan AT, Licitra L, Trama A, Orlandi A, et al. Nasopharyngeal carcinoma:ESMO-EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology. 2021: 32(4) 452-465.
  • Chua MLK, Lechner M, Ma BBY. Cancer of the nasopharynx. DeVita VT Jr, Lawrence TS, Rosenberg S. eds. DeVita Hellman and Rosenberg's Cancer: Principles and Practice of Oncology. 12th ed. Philadelphia, PA: Wolters Kluwer; 2023: Kindle version, chapter 24, https://read.amazon.ca/?asin=B0BG3DPT4Q&language=en-CA.
  • PDQ® Adult Treatment Editorial Board. Nasopharyngeal Cancer Treatment (Adult) (PDQ®) – Health Professional. Bethesda, MD: National Cancer Institute; 2022: https://www.cancer.gov/.
  • National Comprehensive Cancer Network . NCCN Clinical Practice Guidelines in Oncology: Head and Neck Cancer Version 2.2023 . 2023: https://www.nccn.org/guidelines/category_1.
  • Guideline Resource Unit (GURU). Nasopharyngeal Cancer Treatment. Version 2 ed. Edmonton: Alberta Health Services; 2021: Clinical Practice Guideline HN-003. https://www.albertahealthservices.ca/info/cancerguidelines.aspx.

Treatments for stage 1 nasopharyngeal cancer

The main treatment for stage 1 nasopharyngeal cancer is radiation therapy.

Treatments for stage 2 nasopharyngeal cancer

The main treatment for stage 2 nasopharyngeal cancer is chemoradiation.

Treatments for stage 3 nasopharyngeal cancer

The main treatment for stage 3 nasopharyngeal cancer is chemoradiation.

Treatments for stage 4 nasopharyngeal cancer

The main treatments for stage 4 nasopharyngeal cancer include chemoradiation and chemotherapy. Radiation therapy and immunotherapy may be offered.

Treatments for recurrent nasopharyngeal cancer

Recurrent nasopharyngeal cancer means that the cancer has come back (recurred) after it has been treated. It may recur in the same location as the original cancer or it may recur in another part of the body.

Radiation therapy for nasopharyngeal cancer

Radiation therapy uses high-energy rays or particles to destroy cancer cells.

Chemotherapy for nasopharyngeal cancer

Chemotherapy is the use of anti-cancer (cytotoxic) drugs to treat cancer. It is a systemic therapy that circulates throughout the body and destroys cancer cells, including those that may have broken away from the primary tumour.

Surgery for nasopharyngeal cancer

Surgery is rarely used to treat primary nasopharyngeal cancer. The anatomy and location of the nasopharynx make it difficult for surgeons to easily reach and completely remove these tumours.

Immunotherapy for nasopharyngeal cancer

Immunotherapy is sometimes used to treat nasopharyngeal cancer. Immunotherapy helps to strengthen or restore the immune system’s ability to fight cancer. Immunotherapy is sometimes called biological therapy.

Follow-up after treatment for nasopharyngeal cancer

People with nasopharyngeal cancer should talk to their healthcare team about a follow-up plan that suits their individual situation.

Medical disclaimer

The information that the Canadian Cancer Society provides does not replace your relationship with your doctor. The information is for your general use, so be sure to talk to a qualified healthcare professional before making medical decisions or if you have questions about your health.

We do our best to make sure that the information we provide is accurate and reliable but cannot guarantee that it is error-free or complete.

The Canadian Cancer Society is not responsible for the quality of the information or services provided by other organizations and mentioned on cancer.ca, nor do we endorse any service, product, treatment or therapy.


1-888-939-3333 | cancer.ca | © 2024 Canadian Cancer Society