Is throat cancer prone to recurrence?

Written by Li Rui
Otolaryngology
Updated on November 14, 2024
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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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Symptoms of throat cancer

Laryngeal cancer is a relatively common otolaryngological disease, with numerous clinical symptoms. Common symptoms include recurrent sore throat, foreign body sensation in the throat, and hoarseness. Some patients may not exhibit obvious clinical signs in the early stages and are often diagnosed during laryngoscopy or physical examinations. In terms of treatment, it is first necessary to perform laryngoscopy and a neck CT scan to assess the extent of the disease. Most patients primarily undergo surgical treatment, while some may need to consider a comprehensive treatment plan that includes radiation therapy or chemotherapy. After treatment, regular follow-ups are required to monitor the effectiveness.

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Written by Xu Qing Tian
Otolaryngology
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Can throat cancer be cured?

Laryngeal cancer is a type of malignant tumor in otolaryngology, divided into primary and secondary types. Secondary tumors refer to malignant tumors that have metastasized from other parts of the body, which are relatively rare; while primary tumors originate in the laryngeal area, with squamous cell carcinoma being the most common. For early-stage laryngeal cancer patients, it is generally necessary to detect and treat the disease early. Minimally invasive surgery using methods such as carbon dioxide laser can be used to remove the tumor, and patients can be cured. However, for hypopharyngeal cancer and late-stage tumors, due to the biological characteristics of the patients, early metastasis is common, making complete recovery difficult. Recurrence is also possible. Therefore, timely treatment is necessary, and postoperative radiotherapy and chemotherapy are needed to further augment treatment, aiming to extend the patient's survival period as much as possible.

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Written by Deng Bang Yu
Otolaryngology
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What is throat cancer diagnosed through?

Laryngeal cancer is a relatively common disease in otolaryngology. It is divided into several types, such as glottic cancer, supraglottic cancer, subglottic cancer, and transglottic cancer. The clinical diagnosis of laryngeal cancer first requires a medical history, such as a long-term history of smoking and viral infections. Clinically, patients may present with chronic hoarseness and physical examinations can reveal tumorous tissue growth. Additional diagnostic tools include the use of a laryngoscope, as well as CT or MRI imaging studies. The most crucial standard for definitive diagnosis is the examination of pathological tissues, specifically biopsy. During the clinical diagnostic process, it is also necessary to differentiate between laryngeal cancer and conditions that may present similarly, such as laryngeal papillomatosis, to definitively diagnose laryngeal cancer. This outlines the clinical diagnostic procedure for laryngeal cancer.

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Written by Li Rui
Otolaryngology
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What are the symptoms of early-stage throat cancer?

The early symptoms of laryngeal cancer vary: some people exhibit typical symptoms while others show atypical symptoms or even no symptoms initially. For glottic laryngeal cancer, one of the earlier symptoms is hoarseness. This type of cancer occurs in the vocal cords area, which can affect closure of the vocal cords during speech, causing hoarseness. Some patients may also experience throat pain, abnormal bloody discharge from the throat, or have difficulties in breathing and swallowing, which could all be symptoms of laryngeal cancer. However, some patients may not show any symptoms in the early stages, especially those with supraglottic or subglottic laryngeal cancer, where early symptoms are not typical. Symptoms might only appear in the mid to late stages. Therefore, it is necessary to use a laryngoscope for examination and to perform a neck CT for a comprehensive evaluation.

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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.