Nasopharyngeal Carcinoma or Poorly Differentiated Squamous Carcinoma   

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Case Study of John Lau   < Inarkitect@aol.com >

On 12/31/99, Mr. John Lau came to the office of Caring Medical and Rehabilitation Services (CMRS) in Oak Park, IL with the chief complaint of a right neck mass. He related the following history: In the summer of 1998, he experienced a fullness in his right neck area that was treated as a tooth infection/abscess. He took several courses of antibiotics with no change in the size of the mass. When the mass continued to enlarge, he agreed to have a fine needle aspiration on 3/18/99. This was nondiagnostic, so he had a cervical lymph node removed on 3/26/99. The pathological diagnosis on this was metastatic poorly differentiated carcinoma consistent with either nasopharyngeal carcinoma or poorly differentiated squamous carcinoma. Further work-out showed the following:

4/6/99: CT of the neck:
Impression: There is an asymmetrical soft tissue mass (2.5 cm by 2.5 cm) in the right posterolateral nasopharyngeal recess in the fossa of Rosenmuller region. There is a large submandibular mass just anterior to the right sternocleidomastoid muscle compatible with a large 3 cm. nodal mass. There are also several other enlarged right submandibular nodes noted and several smaller nodes noted in the posterior triangle and tracking along the right sternocleidomastoid muscle posteriorly. There is some asymmetrical soft tissue noted in the left supraclavicular region and high left axilla compared to the right.

5/11/99: MRI of the neck before and after gadolinium:
Posterior nasopharynx asymmetry, with thickening on the right.
Right lateral retropharyngeal lymph node measuring 1.7 cm.
Left retropharyngeal lymph node measuring 1.0 cm.
Left jugulodigeastric lymph node measuring 1.2 cm.
A markedly enlarged right level II anterior triangle lymph node measuring 3.3 cm.
Multiple other enlarged lymph nodes.

After receiving the diagnosis of neck cancer, John refused to get surgery, radiation, and/or chemotherapy after learning the risks of these therapies. He decided to try alternative treatments, which included hydrazine sulfate, various vitamins/herbal regimes, 714X, as well as treatments with a Rife machine, yet the mass continued to enlarge.

By the time he came to CMRS in Oak Park, the neck mass was clearly visible measuring several inches in length, width, and height. (Please see photographs.) John started Insulin Potentiation Therapy on 1/5/00. His regime consisted of 5-FU and Cisplatin at 10% the standard chemotherapy dose used in traditional oncology. By 1/17/00, after only 4 IPT doses, he experienced a noticeable decrease in the size of the mass. (See photographs.) His neck size had decreased from 17 ¼ to 16 ¼. John felt a little tired on the day of treatment, but otherwise experienced none of the side effects attributed to traditional chemotherapy. He had no vomiting, hair loss, immunosuppression, decline in his blood counts, or fatigue. He continues to work a full time job. On 2/15/00, after 8 IPT treatments, his neck mass was no longer visible. He is still currently under treatment. It is expected that he will make a complete recovery.

Submitted by Ross A. Hauser, M.D.  < drhauser@caringmedical.com >
Oak Park, Illinois
February 16, 2000