Can vocal cord polyps turn cancerous?

Written by Li Rui
Otolaryngology
Updated on January 07, 2025
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Vocal cord polyps themselves are a type of benign lesion, with a very, very small chance of becoming malignant. However, if vocal cord polyps recur frequently, especially in conjunction with unhealthy lifestyle habits such as long-term smoking and drinking, there indeed exists a possibility of malignant transformation. Overall, though, this probability is relatively low, and the vast majority of cases are benign. However, in cases of frequent recurrence, it is important to watch for moderate or severe atypical hyperplasia, as this condition could potentially progress to cancer. Regular laryngoscopic examinations are needed in such cases, typically every three to six months. Additionally, it is important to avoid smoking and drinking, and to avoid excessive use of the voice.

Other Voices

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Written by Li Mao Cai
Otolaryngology
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What does it feel like to have vocal cord polyps?

Vocal cord polyps generally do not cause any special sensations by themselves, but some patients may experience pain, stiffness, and fatigue. The main symptom is a hoarse voice, meaning the voice becomes raspier than before, making it difficult to articulate, especially when trying to sing or speak in high tones. In addition to hoarseness, other symptoms can include a feeling of vocal fatigue, throat pain, and an irritating cough. However, these symptoms can vary from person to person, with hoarseness being the primary manifestation.

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Written by Deng Bang Yu
Otolaryngology
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How long does it take to wake up from general anesthesia for vocal cord polyps?

Vocal cord polyps are common and frequently occurring clinical benign tumors located on the vocal cords. Clinically, the main treatment is the removal of the vocal cord polyps under a microscope-assisted laryngoscope, performed under general anesthesia. Currently, our control technique for general anesthesia is very refined, and the surgery for vocal cord polyps generally takes about 15 minutes. After these 15 minutes, our patients gradually regain consciousness. Therefore, patients undergoing general anesthesia for vocal cord polyp surgery can progressively wake up after the surgery is complete. This is achievable due to our current precise control techniques in anesthesia and medication management, allowing patients to awaken promptly after the surgery.

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Written by Li Rui
Otolaryngology
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Is vocal cord polyp removal painful?

Vocal cord polyp removal surgery generally does not cause notable pain. Currently, there are mainly two types of surgery for vocal cord polyps. The first type is under general anesthesia, and the second type is under local anesthesia, including topical anesthesia. If you choose surgery under general anesthesia, the patient will be under anesthesia throughout the procedure and will not feel pain. However, there might be varying degrees of pain after the surgery, although it is generally tolerable. If you choose surgery under topical anesthesia, there might be some pain during the procedure, but it typically isn't severe. Post-surgery pain is usually not too intense, but regular follow-ups are necessary, mainly to monitor for any recurrence of the polyps.

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Written by Li Rui
Otolaryngology
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Can vocal cord polyps be treated conservatively?

Vocal cord polyps are relatively common otolaryngological diseases. Some patients may consider conservative treatments such as oral medication, nebulization therapy, and voice rehabilitation training. However, throughout the treatment process, regular follow-ups are necessary to observe the treatment effects. If symptoms like hoarseness gradually improve and the vocal cord polyps shrink after conservative treatments, it might be advisable to continue the treatment. Conversely, if hoarseness or the size of the polyps does not improve or continues to grow, conservative treatments are deemed ineffective, and surgical removal may be necessary. Post-operative regular check-ups are also essential to monitor for any recurrence. (Please administer medication under the guidance of a professional physician.)

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Written by Li Mao Cai
Otolaryngology
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The difference between vocal cord polyps and vocal cord nodules

Vocal cord polyps and vocal cord nodules are diseases caused by incorrect pronunciation or overuse of the voice, with the main clinical manifestation being hoarseness. The difference between vocal cord polyps and vocal cord nodules lies in their appearance under a laryngoscope: Vocal cord polyps often occur on one vocal cord, typically in the anterior one-third where a translucent, smooth swelling is found. This swelling can either have a broad stalk or a smaller stalk, and often, a hole can be observed with respiration. Vocal cord nodules are smaller and usually located symmetrically on the anterior one-third of both vocal cords. This implies that while polyps are commonly found on one vocal cord, nodules occur symmetrically on the anterior one-third of both vocal cords. From a general perspective, vocal cord polyps are wider and larger, whereas vocal cord nodules are only nodular lesions.