• Once treatment is completed, extensive follow-up is essential. This includes physical examination, x-rays and scans, blood tests, tests of thyroid and pituitary function, attention to dental and oral hygiene, jaw exercises and evaluation of vision and hearing. Stages I and II Standard Treatment High-dose radiotherapy to the primary area and both sides of the neck. Five-Year Survival 65 to 95 percent (Stage I), 50 to 65 percent (Stage II) Stage III Standard Treatment Same as for Stages I and II, but surgical neck dissection may be needed if enlarged lymph nodes in the neck either do not completely disappear after radiotherapy or recur. Neoadjuvant chemotherapy given before radiotherapy has been shown to significantly improve the response to treatment and survival in advanced nasopharyngeal cancer. Five-Year Survival 30 to 60 percent