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 Xu Qing Tian
Otolaryngology
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Can vocal cord polyps cause difficulty breathing?

Vocal cord polyps rarely cause breathing difficulties, but for some patients with large vocal cord polyps, there is a possibility of gradually developing breathing difficulties. Vocal cord polyps are often due to patients overusing their voice, or from physical and chemical factors such as irritations from smoking and alcohol, which then lead to edema of the vocal cord mucosa. Prolonged irritation can gradually form vocal cord polyps, and the main symptoms include a hoarse voice, throat pain, and difficulty breathing. Once vocal cord polyps are discovered, they generally need to be treated surgically. Smaller vocal cord polyps can also be treated with medication. If medication is ineffective, surgical treatment can also be considered.

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Written by Xu Qing Tian
Otolaryngology
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Are white vocal cord polyps cancerous?

Vocal cord polyps are mainly caused by overuse of the voice by patients, or by edema of the mucous membrane due to smoking, alcohol, and physical or chemical irritations, which gradually form vocal cord polyps. During an examination with an electronic laryngoscope, if whitening of the vocal cord mucosa or symptoms such as folds or erosion are found, it may indicate an early stage lesion of a tumor, or that a tumor has developed, which is often seen in cases of leukoplakia or squamous carcinoma of the vocal cords. If such conditions are discovered, it is important for the patient to take them seriously and promptly visit a hospital for a pathological biopsy to determine if there has been a pathological change in the vocal cords. If a pathological change is confirmed, it is necessary to promptly remove the pathological tissue through carbon dioxide laser surgery or support laryngoscopy surgery to achieve timely treatment.

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Written by Xu Qing Tian
Otolaryngology
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The difference between vocal cord polyps and pharyngitis

Pharyngitis is primarily a nonspecific inflammation of the throat, which can be divided into acute pharyngitis and chronic pharyngitis. Acute pharyngitis is mainly caused by bacterial infections affecting the mucous membrane and submucosal tissues of the throat, leading to symptoms such as dry throat, burning sensation, sore throat, and pain when swallowing. The main pathogens involved are often streptococcus and staphylococcus, among others. Patients with chronic pharyngitis mainly experience a foreign body sensation in the throat, along with dryness and itchiness. In contrast, patients with vocal cord polyps, which mainly differ from pharyngitis, exhibit hoarseness. Typically, pharyngitis patients do not exhibit obvious hoarseness. Differentiation between the two can be achieved through an examination with a laryngoscope, which can determine the presence of obvious polyp growth on the vocal cords, thereby distinguishing between vocal cord polyps and pharyngitis.

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Written by Li Rui
Otolaryngology
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What should not be eaten with vocal cord polyps?

Vocal cord polyps are a relatively common otolaryngological ailment. In terms of diet, it is advised not to consume spicy and irritating foods such as chili peppers, Sichuan pepper, and black pepper, as well as foods that are likely to cause allergies. These foods can directly irritate the throat and vocal cords, potentially exacerbating symptoms such as hoarseness and possibly causing throat pain and a sensation of a foreign object in the throat. Patients with vocal cord polyps should visit an otolaryngology clinic after symptoms appear. Routine blood tests and laryngoscopy can help determine the specific cause and extent of the condition, which then facilitates targeted treatment.

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Written by Li Rui
Otolaryngology
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How many days to recover the voice after vocal cord polyp removal?

Vocal cord polyp surgery is a relatively common otolaryngological procedure. After the surgery, recovery time can vary between individuals. Typically, within the first three days post-surgery, the vocal cords can exhibit significant congestion and swelling, potentially causing hoarseness that is even worse than before the surgery. However, nebulizer treatments can be considered during this phase to help improve the hoarseness. Generally, symptoms of hoarseness will gradually improve after three days, with noticeable improvement around one week. Most patients fully recover their voice in about two weeks, though individual variations exist. Therefore, it is advised to have regular follow-up examinations to observe the outcome after the surgery.