Nasopharyngeal carcinoma (NPC)
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | DIS-NPC |
|---|---|
| Type | Disease |
| Aliases | EBV-associated nasopharyngeal carcinomaNPCNasopharyngeal carcinomaNasopharynx cancerUndifferentiated nasopharyngeal carcinomaНазофарингеальна карцинома |
| Status | reviewed 2026-05-18 | pending_clinical_signoff |
| Diseases | None declared |
| Sources | SRC-IARC-MONO-100B-2012 SRC-NCCN-HNSCC-2025 |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 8071/3 |
|---|---|
| icd_o_3_topography | ["C11"] |
| icd_10 | C11 |
| who_classification | WHO Head and Neck Tumours 5th ed (2022): Non-keratinizing nasopharyngeal carcinoma (EBV-associated) + keratinizing variants |
Notes
Distinct from other head/neck SCCs: EBV-associated, lymphoepithelial histology, very chemo- and radio-sensitive, distinct anatomic challenges (skull-base proximity, retropharyngeal nodal drainage). Treatment: definitive concurrent chemoradiation for locally advanced disease (cisplatin + IMRT); induction chemo (gemcitabine + cisplatin) showing OS benefit in recent trials. Metastatic 1L: gemcitabine + cisplatin + toripalimab or camrelizumab (PD-1) per recent Chinese Phase 3s. Plasma EBV-DNA used for post-treatment surveillance — rising levels predict relapse months before imaging.
Used By
Algorithms
ALGO-NPC-1L- ALGO-NPC-1L
Indication
IND-NPC-1L-LOCALLY-ADVANCED-CCRT- IND-NPC-1L-LOCALLY-ADVANCED-CCRTIND-NPC-1L-METASTATIC-GC-PD1- IND-NPC-1L-METASTATIC-GC-PD1
Red flag
RF-NPC-EBV-DNA-POST-TREATMENT-SURVEILLANCE- Detectable or rising plasma EBV-DNA (BIO-EBV-DNA, quantitative PCR) after completion of d...
Sources
SRC-CAPTAIN-1ST-YANG-2021- Camrelizumab versus placebo in combination with gemcitabine and cisplatin as first-line t...SRC-EBV-DNA-NPC-LIN-2004- Quantification of plasma Epstein-Barr virus DNA in patients with advanced nasopharyngeal...SRC-INTERGROUP-0099-ALSARRAF-1998- Superiority of chemoradiotherapy versus radiotherapy in patients with locally advanced na...SRC-JUPITER-02-MAI-2021- Toripalimab plus chemotherapy for recurrent or metastatic nasopharyngeal carcinoma: the J...SRC-NPC-GC-INDUCTION-ZHANG-2019- Gemcitabine and Cisplatin Induction Chemotherapy in Nasopharyngeal Carcinoma