The difference between vocal cord polyps and laryngeal cancer

Written by Li Mao Cai
Otolaryngology
Updated on September 10, 2024
00:00
00:00

The difference between vocal cord polyps and laryngeal cancer is firstly notable in their nature. Vocal cord polyps are benign lesions, and their removal generally does not significantly affect the patient's quality of life or lifespan. Laryngeal cancer, as the name implies, is a malignant lesion that greatly affects both the patient's quality of life and lifespan. Location-wise, vocal cord polyps are found on the vocal cords, while laryngeal cancer can be located in one of three areas: on the vocal cords, known as glottic laryngeal cancer; below the vocal cords, known as subglottic laryngeal cancer; and above the vocal cords, known as supraglottic laryngeal cancer. The prognosis for vocal cord polyps is very good; after surgery, if the patient rests well, their future quality of life is generally unaffected. Laryngeal cancer is divided into three types: glottic, supraglottic, and subglottic, with glottic being the most common, accounting for about 80%. This type of laryngeal cancer usually presents early symptoms such as hoarseness, similar to vocal cord polyps. Therefore, glottic laryngeal cancer can often be detected early. With prompt and correct treatment, the postoperative results can be good. As it typically involves highly differentiated squamous cell carcinoma, if it is completely excised surgically and regularly reviewed postoperatively, it doesn't greatly impact lifespan or quality of life. In contrast, subglottic and supraglottic laryngeal cancers often show symptoms later, which means they tend to be diagnosed at a later stage, usually at a mid to advanced stage. Supraglottic laryngeal cancer, in particular, is prone to cervical lymph node metastasis, thus usually having a poorer prognosis compared to glottic laryngeal cancer. There's also a higher likelihood of recurrence and metastasis, and the surgery may involve greater trauma. These are the main differences.

Other Voices

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
39sec home-news-image

Can vocal cord polyps be cured by taking Chinese medicine?

Vocal cord polyps are benign neoplasms on the free edge of our vocal cords. Once vocal cord polyps form, they are difficult to eliminate through medication and are generally removed surgically, as they are usually relatively large. In terms of using Chinese medicine, clinically, we mainly use Chinese patent medicines that clear the throat and benefit the voice. However, these can only serve as an adjunctive treatment and cannot eliminate vocal cord polyps. Therefore, in clinical treatment, surgery is primarily used. Chinese medicine cannot eliminate vocal cord polyps, and this is something we must understand.

doctor image
home-news-image
Written by Xu Qing Tian
Otolaryngology
53sec home-news-image

What should I do if my vocal cord polyps are inflamed?

Patients with vocal cord polyps often experience inflammation, typically caused by the polyps which make it difficult to speak, subsequently leading to edema in the laryngeal mucosa and causing acute laryngitis. In such cases, it is essential to first rest the voice and avoid excessive vocalization. At the same time, oral administration of throat-clearing medicine and antibiotics is necessary to reduce inflammation. Patients diagnosed with vocal cord polyps should undergo support laryngoscopy surgery to remove the polyp tissue once contraindications have been ruled out, thus restoring normal vocal function. Post-surgery, it is crucial to strictly rest the voice for three to four weeks, while also avoiding spicy, irritating foods, and cold beverages to prevent exacerbating local inflammation.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
44sec home-news-image

What should I do about vocal cord polyps?

Vocal cord polyps are benign tumors located on the vocal cords, primarily caused by improper use of the voice or by inflammatory infections. When vocal cord polyps are suspected, it is essential to visit a hospital for an examination, primarily using a laryngoscope to assess the size of the polyps and check for any other vocal cord lesions. Once diagnosed, surgical intervention is often evaluated. Suitable cases are admitted to the hospital for surgery under a surgical microscope to remove the polyps. Generally, patients can be discharged three to five days after the surgery. The surgery involves microscopic techniques, so the trauma is minimal.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
46sec home-news-image

Do vocal cord polyps require surgery?

Vocal cord polyps generally do not require surgery. If the polyps are relatively small or if the symptoms of hoarseness are not obvious, surgery is usually not necessary, and medication can be considered. The treatment is primarily through oral medications, combined with nebulization therapy. If possible, professional voice training can also be considered. Most patients can gradually recover through conservative treatment. However, if the polyps are large and cause noticeable hoarseness, surgery might be needed. Post-surgery, regular follow-ups are necessary, but such surgeries are usually minimally invasive, performed under a laryngoscope, and do not involve significant external injuries.

doctor image
home-news-image
Written by Zhang Jun
Otolaryngology
1min 5sec home-news-image

Can vocal cord polyps eat bayberry?

People with vocal cord polyps should avoid eating bayberries, as bayberries are acidic and can aggravate acid reflux after consumption. The acid fluid and vapors can also irritate the throat, leading to the enlargement or recurrence of vocal cord polyps. Vocal cord polyps are generally caused by prolonged improper use of the voice, such as yelling loudly, excessive fatigue, and irritation from acid reflux. These polyps can cause the voice to become hoarse and progressively worsen. During examination, a pale, lychee-like mass can be found on the anterior-middle third of one vocal cord, leading to incomplete closure of the vocal cords. Regarding treatment, medication is ineffective for vocal cord polyps. Patients need to undergo a vocal cord polyp removal surgery under supported laryngoscopy. The surgery requires hospitalization and general anesthesia, and postoperative antibiotics are used to prevent local infection. Recovery is usually complete within about a week, allowing for discharge from the hospital.