Laryngeal cancer

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Written by Li Rui
Otolaryngology
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Is throat cancer prone to recurrence?

Throat cancer indeed may recur, but the specific chances and extent of recurrence vary greatly among individuals. Generally speaking, the probability of recurrence is much lower in early-stage throat cancer compared to mid and late stages. For early-stage throat cancer, surgery or radiotherapy is primarily recommended. The first two years are very critical; if there is no recurrence within two years, the likelihood of recurrence is relatively smaller. Then, the next milestone is five years; the five-year survival rate is very significant. If there is no recurrence within five years, it can generally meet the criteria for clinical cure. However, even after five years, a small portion of patients might still experience recurrence, hence the necessity to persist with long-term follow-up examinations.

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Written by Li Rui
Otolaryngology
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What age does throat cancer generally occur?

Throat cancer is a relatively common type of malignant tumor in the head and neck region. It more commonly affects middle-aged or elderly men, with most patients being over 40 years old. Specific clinical symptoms vary among individuals, but common symptoms include sore throat and hoarseness. Some patients may experience difficulty breathing. In terms of treatment, surgery and radiation therapy are commonly used, and some patients may require a combination of comprehensive treatment plans. Regular follow-ups are necessary during the treatment process to monitor the effectiveness of the treatment.

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Written by Yan Chun
Oncology
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Symptoms and Early Signs of Throat Cancer

Symptoms and signs of laryngeal cancer in patients mainly vary according to the different locations of the tumor in the larynx. Most patients with early-stage laryngeal cancer experience a foreign body sensation in the throat, which can be persistent. Patients may even feel a choking sensation when swallowing. Additionally, some patients with early-stage laryngeal cancer may experience unexplained hoarseness or coughing and choking when drinking water, and these symptoms generally do not respond well to oral medication. Some patients exhibit frequent coughing, and ordinary symptomatic cough treatments are ineffective. These are mostly early symptoms and signs. As the laryngeal cancer progresses, patients will experience a noticeable obstruction in the throat, along with symptoms like difficulty breathing.

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Written by Li Rui
Otolaryngology
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Can throat cancer be detected by a CT scan?

Most laryngeal cancers can be detected through CT scans because, during the scan, it is possible to see whether there are neoplasms in the area of the pharynx and larynx, especially around the laryngeal cavity, ventricle, and vocal cords. Generally, if there are any growths, they will be visible on a CT scan. However, some early-stage laryngeal cancers, where the mucosa has just started to show changes, might be missed by CT scans. In such cases, it is generally recommended to also perform a laryngoscopic examination. If possible, conducting an NBI (Narrow Band Imaging) laryngoscopy could reveal early mucosal changes. If early-stage laryngeal cancer is confirmed by pathology, surgical or radiation treatment can be very effective and generally has a low chance of recurrence.

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Written by Xu Qing Tian
Otolaryngology
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Throat cancer coughing up blood, what is going on?

Patients with laryngeal cancer may experience bleeding due to the rupture of local tumors. The surface tissue of tumors that develop in laryngeal cancer is relatively fragile, and may rupture and cause bleeding during stimuli such as eating or coughing. When these symptoms occur, it is crucial to visit a hospital for medical consultation immediately. Examinations like indirect laryngoscopy and electronic nasopharyngoscopy can help confirm the patient's symptoms and make an accurate diagnosis. Under the guidance of a physician, hemostatic drugs, antibiotics, and hormones can be used for temporary symptomatic treatment. Patients with laryngeal cancer should be detected and treated early, undergo surgery as soon as possible, and receive radiation and chemotherapy to ensure their survival.

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Written by Li Rui
Otolaryngology
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How to diagnose throat cancer

Laryngeal cancer examinations are mainly divided into two categories. The first category is laryngoscopy, and the second is imaging studies. Laryngoscopy is further subdivided into fiberoptic laryngoscopy, electronic laryngoscopy, and indirect laryngoscopy. Indirect laryngoscopy is relatively rudimentary and generally doesn't play a significant role in diagnosing laryngeal cancer. Therefore, fiberoptic or electronic laryngoscopy is typically preferred as these methods can directly determine the presence of neoplasms in the throat. If a neoplasm is detected, further pathological biopsy testing can be considered. The other method is imaging studies, primarily involving CT scans or MRI of the throat. These are helpful in determining the size, extent, and preliminary nature of the throat neoplasms. Combined with the above methods, a definitive diagnosis can generally be established.

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Written by Xu Qing Tian
Otolaryngology
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How to self-examine for throat cancer

Throat cancer is a common malignant tumor in otolaryngology, and patients with throat cancer usually have no obvious early symptoms. If a patient exhibits symptoms such as hoarseness and difficulty swallowing, it should be taken seriously, especially in patients with a long history of smoking. At this point, it is important to seek medical attention promptly, complete inspections using electronic laryngoscopes, a CT scan of the throat, and other relevant examinations to make a clear diagnosis. For patients with neoplasms in the throat, a pathological biopsy is necessary to determine the type of pathology. The most effective treatment method for throat cancer patients is early detection and early treatment, which can avoid surgical operations through early laser surgery, thus reducing the pain and trauma for the patient.

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Written by Deng Bang Yu
Otolaryngology
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Is throat cancer easy to treat?

Laryngeal cancer is a malignant tumor in the larynx, clinically mainly squamous cell carcinoma. Currently, the main treatment is comprehensive treatment centered around surgery, including surgical radiation therapy and chemotherapy. Laryngeal cancer can be completely cured if detected early. It is divided into three types: supraglottic, glottic, and subglottic cancer. Glottic cancer, due to the early and noticeable symptom of hoarseness, is usually detected early, thus the clinical treatment outcomes are relatively good. Therefore, laryngeal cancer is among the malignant tumors with relatively good treatment outcomes, and is considered relatively easy to treat. In summary, the current treatment outcomes for laryngeal cancer are still quite good.

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Written by Deng Bang Yu
Otolaryngology
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Common sites of laryngeal cancer

Laryngeal cancer is a malignant tumor in the larynx, and clinically, it is primarily squamous cell carcinoma. There are several types of laryngeal cancer: firstly, glottic cancer; secondly, supraglottic cancer; there is also subglottic cancer, and transglottic cancer that spans two regions. Among these types, glottic cancer is the most common. Early-stage glottic cancer is generally detected earlier due to hoarseness, and the outcomes after surgery are relatively better. Consequently, the most frequently diagnosed site of this disease is the vocal cords. After surgery, regular follow-up appointments are necessary to monitor and observe the healing process post-operation.

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Written by Deng Bang Yu
Otolaryngology
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Can you speak after laryngeal cancer surgery?

Laryngeal cancer is a malignant tumor of the larynx, and the clinical treatment is mainly surgical, including radiation therapy, chemotherapy, and comprehensive treatment. Whether one can speak after surgery depends on the method of the surgery. Total laryngectomy renders the patient unable to speak. We can help the patient speak through esophageal speech, electronic larynx, and other assistive devices, but there is a significant difference in the sound quality and volume compared to normal speech. With partial laryngectomy, depending on the specific situation, the patient may be able to speak, but the quality of speech still differs greatly from normal speech. Overall, it depends on the condition of the laryngeal cancer and the surgical approach.