Is T2N0M0 throat cancer serious?

Written by Deng Bang Yu
Otolaryngology
Updated on September 01, 2024
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Laryngeal cancer T2N0M0 refers to Stage 2 clinical staging of laryngeal cancer. Here, "T" denotes the primary lesion, typically classified as Stage 2. Stage 1 generally refers to the primary tumor, with Stage 2 lesions being larger in scope than Stage 1. "N0" indicates the local lymph nodes, showing that there is no local lymph node metastasis. "M0" indicates there is no distant metastasis. Therefore, laryngeal cancer T2N0M0 represents an early or intermediate stage. Clinically, this stage is usually most suitable for surgery, and the healing and prognosis after surgery are relatively favorable.

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Written by Xu Qing Tian
Otolaryngology
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Throat cancer coughing up blood, what is going on?

Patients with laryngeal cancer may experience bleeding due to the rupture of local tumors. The surface tissue of tumors that develop in laryngeal cancer is relatively fragile, and may rupture and cause bleeding during stimuli such as eating or coughing. When these symptoms occur, it is crucial to visit a hospital for medical consultation immediately. Examinations like indirect laryngoscopy and electronic nasopharyngoscopy can help confirm the patient's symptoms and make an accurate diagnosis. Under the guidance of a physician, hemostatic drugs, antibiotics, and hormones can be used for temporary symptomatic treatment. Patients with laryngeal cancer should be detected and treated early, undergo surgery as soon as possible, and receive radiation and chemotherapy to ensure their survival.

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Written by Li Rui
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The most common type of laryngeal cancer

At present, laryngeal cancer is classified based on anatomical location into three main types, with glottic cancer being the most common. Supraglottic and subglottic cancers are relatively less common. The primary symptom of glottic cancer is hoarseness, which can be noticeable in the early stages. Therefore, generally, the earlier the disease is diagnosed, the better the treatment outcome may be. Additionally, laryngeal cancer is also classified by pathological types. The main pathological type is squamous cell carcinoma. Overall, surgical treatment is the most important, but depending on the patient's stage and type of cancer, a combination of radiation and chemotherapy might be necessary.

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Written by Li Rui
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How to diagnose throat cancer

Laryngeal cancer examinations are mainly divided into two categories. The first category is laryngoscopy, and the second is imaging studies. Laryngoscopy is further subdivided into fiberoptic laryngoscopy, electronic laryngoscopy, and indirect laryngoscopy. Indirect laryngoscopy is relatively rudimentary and generally doesn't play a significant role in diagnosing laryngeal cancer. Therefore, fiberoptic or electronic laryngoscopy is typically preferred as these methods can directly determine the presence of neoplasms in the throat. If a neoplasm is detected, further pathological biopsy testing can be considered. The other method is imaging studies, primarily involving CT scans or MRI of the throat. These are helpful in determining the size, extent, and preliminary nature of the throat neoplasms. Combined with the above methods, a definitive diagnosis can generally be established.

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Written by Deng Bang Yu
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What department should I go to for throat cancer?

Laryngeal cancer is a malignant tumor of the larynx. Therefore, initially, one should consult the otorhinolaryngology department. However, in some specialized hospitals, such as cancer hospitals, there might not be a specific otorhinolaryngology department, but there is a head and neck surgery department, so in that case, one should consult the head and neck surgery department. After surgery for laryngeal cancer, comprehensive treatment including chemotherapy and radiotherapy is required. Thus, post-surgery, if radiotherapy is needed, one should visit the radiotherapy department, and if chemotherapy is needed, one should visit the oncology department. Generally, the decision for surgical, radiotherapy, and chemotherapy treatments is based on the condition of the disease.

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Written by Deng Bang Yu
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How is laryngeal cancer diagnosed?

In clinical settings, the diagnosis of laryngeal cancer primarily relies on several aspects. Firstly, the patient's history, such as a family history of laryngeal cancer, and whether there is a long-term smoking history, for example, smoking two packs a day. Secondly, we need some clinical data, such as whether the patient exhibits symptoms like hoarseness. Then, during physical examination, we need to check for the presence of cancerous tissues in the hypopharynx, vocal cords, and the subglottic cavity, such as the presence of lumps, uneven surfaces, erosion, ulcers, etc. These are its symptoms and signs. Furthermore, we can utilize some auxiliary examinations, such as laryngoscopy, which allows direct observation of the tumor tissue. However, the definitive test involves taking a sample of the tumor tissue for a biopsy, identifying the presence of tumor cells, i.e., cancer cells. This result serves as the basis for confirming a diagnosis of laryngeal cancer. Of course, other auxiliary examinations like CT scans and MRI can also assist in diagnosing laryngeal cancer.