The difference between vocal cord polyps and laryngeal cancer

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

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Written by Zhang Jun
Otolaryngology
1min 12sec home-news-image

Can vocal cord polyps become cancerous a second time?

Secondary surgery for vocal cord polyps is associated with the possibility of malignant changes. Vocal cord polyps are caused by improper long-term vocal usage, fatigue from overuse, shouting loudly, smoking, drinking, and irritation from acid reflux, leading to vocal cord lesions. It causes the patient to have persistent hoarseness of voice, which progressively worsens. Examination with an electronic laryngoscope may reveal a pale white or pale red abnormal neoplasm at the anterior middle third of the unilateral vocal cord. This can lead to incomplete closure of the glottis, resulting in hoarseness of voice. In terms of treatment, medicating vocal cord polyps is ineffective, and the patient must undergo a polypectomy under suspension laryngoscopy. The surgery requires hospitalization and general anesthesia, and the patient can usually recover and be discharged within about a week. After discharge, the patient needs to speak softly and infrequently, follow a bland diet, and abstain from smoking and drinking to prevent recurrence. If recurrences occur, the vocal cord polyps may have the potential to turn cancerous.

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Written by Li Rui
Otolaryngology
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Can vocal cord polyps that have become cancerous be cured?

Nowadays, polyp malignancy transformation is relatively rare. If malignancy transformation is confirmed, timely follow-up treatment is required. The most commonly used treatment method currently is surgical treatment. Some patients can opt for radiation therapy, and if the condition is more severe, a comprehensive treatment plan that combines surgery, radiation therapy, and chemotherapy may be needed. After the treatment is finished, long-term regular check-ups are necessary, generally recommending a check-up every three months to monitor for any local recurrence or distant metastasis. Overall, the earlier the disease is treated, the better the treatment outcome. However, if the onset of the disease is later and the condition is more severe, the treatment outcome is relatively poorer.

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Written by Deng Bang Yu
Otolaryngology
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Can vocal cord polyps cause loss of voice?

Vocal cord polyps are benign neoplasms that occur on the vocal cords. They protrude from the surface of the vocal cords. Generally, after the occurrence of vocal cord polyps, surgical treatment is performed to remove them, as vocal cord polyps can cause hoarseness, affecting our work, and impacting our career and life. Severe vocal cord polyps, if not treated, can lead to repeated friction between the vocal cords, which may even result in the potential malignancy. Of course, vocal cord polyps severely affect our voice quality, causing hoarseness and in severe cases lead to voice loss, causing a sensation of air leakage when we speak. In summary, vocal cord polyps can lead to loss of voice.

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Written by Li Rui
Otolaryngology
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How long do vocal cord polyps need voice rest?

Vocal cord polyps are a relatively common otolaryngological condition with various clinical symptoms, the most common being hoarseness. If the vocal cord polyps are significant, it is necessary to rest the voice, typically recommended for about one to two weeks. However, it is still essential to speak as little as possible in daily life because excessive use of the voice can potentially worsen the condition of the vocal cord polyps. If the polyps are large, and resting the voice alone does not yield good results, additional treatments such as oral medications and nebulizer therapy may be needed. Some patients may not respond well to conservative treatment and might require surgical removal. After surgery, regular follow-ups are necessary to monitor the outcomes.

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Written by Deng Bang Yu
Otolaryngology
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How long after vocal cord polyp surgery can one eat normally?

Vocal cord polyps are mucous-like formations on the vocal cords. Clinically, vocal cord polyps are primarily removed through surgery. These polyps are benign lesions located in the vocal fold area, not in the digestive tract or the pharynx, therefore, they do not affect eating or swallowing. After surgery for vocal cord polyps, a patient can normally eat four to six hours after waking from general anesthesia. However, care must be taken not to cough violently while eating, and spicy or irritating foods should be consumed less or avoided altogether. This does not mean that one cannot eat normally after surgery for vocal cord polyps.