Nasopharyngeal Carcinoma or Poorly Differentiated Squamous
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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:
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.
4/6/99: CT of the neck:
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
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
Submitted by Ross A. Hauser, M.D.
Oak Park, Illinois
February 16, 2000