Symptoms and Early Signs of Throat Cancer

Written by Yan Chun
Oncology
Updated on November 09, 2024
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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 Deng Bang Yu
Otolaryngology
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Which area is the most common site for laryngeal cancer?

Laryngeal cancer is a malignant tumor in the larynx, and clinically, it is primarily squamous cell carcinoma. The causes of laryngeal cancer are diverse, with major triggers being the irritation from smoking and alcohol, as well as viral infections. Clinically, laryngeal cancer is categorized into glottic cancer, supraglottic cancer, and subglottic cancer. The most common type is glottic cancer, which occurs on the vocal cords, typically affecting one vocal cord; bilateral occurrence is extremely rare. Glottic cancer, or cancer of the vocal cord area, is often detected early because hoarseness appears as soon as the lesion develops, prompting patients to seek early medical attention. Therefore, when detected early, the treatment outcomes are generally better.

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

Laryngeal cancer is a type of malignant tumor located in the larynx and is a common malignant tumor in otolaryngology, characterized by a high degree of malignancy and a tendency for early metastasis. Patients with laryngeal cancer primarily exhibit symptoms such as hoarseness, difficulty swallowing, and in later stages, breathing difficulties. Early detection and diagnosis of laryngeal cancer can lead to cure in most early-stage patients through treatments like laser surgery or open surgery. For mid to late-stage patients, in addition to surgical treatment, postoperative radiation and chemotherapy are generally required to manage symptoms and prevent metastasis of laryngeal cancer.

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Written by Zhang Jun
Otolaryngology
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Where is throat cancer likely to metastasize?

The metastasis of laryngeal cancer primarily involves local spread, mainly to the lymph nodes in zones 2, 3, and 4 of the neck. When the cancer becomes more severe, it can break through the lymphatic vessels and spread to the liver, kidneys, spleen, brain, lungs, and other related areas. Laryngeal cancer is a malignant tumor of the pharyngeal region, typically caused by long-term smoking, drinking, immunodeficiency, and cellular mutations. It commonly occurs in the vocal cords, esophagus, laryngeal ventricle, piriform sinus, base of the tongue, and epiglottis. It causes patients to feel a foreign body sensation in the throat, persistent hoarseness that progressively worsens, irritative cough, difficulty swallowing, and difficulty breathing. An examination with an electronic laryngoscope can help diagnose the condition. If an abnormal mass is found, a local biopsy is necessary. If laryngeal cancer is confirmed, related surgical treatment as well as radiotherapy or chemotherapy may be required.

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What causes throat cancer?

Throat cancer is a malignant tumor that occurs in the throat area. Its causes are not clear, but it is generally associated with long-term smoking, drinking, exposure to toxic and carcinogenic substances, as well as gastrointestinal dysfunction, acid reflux irritation, prolonged loud speaking, staying up late, fatigue, and malignant transformation of benign tumors, which lead to symptoms in the throat area. It causes persistent hoarseness in patients, and the symptoms progressively worsen. Patients may also experience a foreign body sensation in the throat, a feeling of blockage, a burning sensation, and sometimes difficulty swallowing. Patients should first go to the hospital for a detailed examination with an electronic laryngoscope, which can reveal cauliflower-like neoplasms or ulcers in any part of the throat. If such findings are present, a local biopsy is needed. If the biopsy confirms the presence of a malignant tumor, local surgery, radiotherapy, or chemotherapy is required for treatment.

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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.