Malignant treatment methods for laryngeal cancer

Written by Deng Bang Yu
Otolaryngology
Updated on September 03, 2024
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Laryngeal cancer is a malignant tumor of the larynx, clinically mainly squamous cell carcinoma. The treatment method for laryngeal cancer should be based on the patient's age, the pathological type of the patient, the extent of the malignant tumor, and the presence or absence of systemic metastasis. Clinical treatments mainly focus on surgery, combined with radiotherapy and chemotherapy, as comprehensive treatment methods. There may be some differences in surgical approaches for different types of laryngeal cancer, such as total laryngectomy or partial laryngectomies, which can be vertical or horizontal. Therefore, treatment should be tailored to the specific conditions of the patient. In late-stage laryngeal cancer, only palliative symptomatic treatment can be performed.

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Written by Zhang Jun
Otolaryngology
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Do the early symptoms of laryngeal cancer include coughing?

Throat cancer refers to malignant tumors that occur in the pharyngeal region. Clinically, it commonly manifests as vocal cord cancer, pyriform sinus cancer, and hypopharyngeal cancer. The causes are linked to long-term smoking, alcohol consumption, gastrointestinal dysfunction, acid reflux, irritations, and improper or excessive use of the voice leading to cellular mutations. In its early stages, patients generally experience persistent worsening hoarseness. Sometimes, patients may also suffer from irritative coughing, a foreign body sensation in the throat, obstruction feeling, and breathing difficulties. Patients need to undergo a detailed examination with an electronic laryngoscope at a hospital, which can reveal cauliflower-like neoplasms in any part of the pharynx. At this point, a local biopsy is necessary. If the biopsy confirms a malignant tumor in the pharyngeal region, local surgical removal is required, followed by relevant radiotherapy or chemotherapy.

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Is throat cancer easy to treat?

Laryngeal cancer is a malignant tumor in the larynx, clinically mainly squamous cell carcinoma. Currently, the main treatment is comprehensive treatment centered around surgery, including surgical radiation therapy and chemotherapy. Laryngeal cancer can be completely cured if detected early. It is divided into three types: supraglottic, glottic, and subglottic cancer. Glottic cancer, due to the early and noticeable symptom of hoarseness, is usually detected early, thus the clinical treatment outcomes are relatively good. Therefore, laryngeal cancer is among the malignant tumors with relatively good treatment outcomes, and is considered relatively easy to treat. In summary, the current treatment outcomes for laryngeal cancer are still quite good.

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Does T3 laryngeal cancer require total laryngectomy?

In clinical practice, most patients with stage T3 laryngeal cancer require total laryngectomy. Postoperative measures include voice reconstruction and rehabilitation exercises to ensure the quality of life after surgery. This is because stage T3 laryngeal cancer implies that the cancer has extended beyond the local area of the larynx and has affected one vocal cord. To ensure the radical nature of the surgery, a total laryngectomy is necessary for patients who have advanced to stage T3. However, this type of surgery can lead to postoperative functional impairments such as speech difficulties. Therefore, it is recommended that patients begin functional exercises very early post-surgery.

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Can throat cancer be detected by a CT scan?

Most laryngeal cancers can be detected through CT scans because, during the scan, it is possible to see whether there are neoplasms in the area of the pharynx and larynx, especially around the laryngeal cavity, ventricle, and vocal cords. Generally, if there are any growths, they will be visible on a CT scan. However, some early-stage laryngeal cancers, where the mucosa has just started to show changes, might be missed by CT scans. In such cases, it is generally recommended to also perform a laryngoscopic examination. If possible, conducting an NBI (Narrow Band Imaging) laryngoscopy could reveal early mucosal changes. If early-stage laryngeal cancer is confirmed by pathology, surgical or radiation treatment can be very effective and generally has a low chance of recurrence.

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Throat cancer should see which department?

Throat cancer should be treated by an otolaryngology department, and is a common type of malignant tumor in otolaryngology. Throat cancer is divided into hypopharyngeal cancer and laryngeal cancer. For patients with throat cancer, initial symptoms include hoarseness, difficulty breathing, and throat pain. Typically, patients have a history of long-term harmful habits such as smoking and drinking. Furthermore, definitive diagnosis can be made using a nasopharyngoscope and a CT scan of the throat area. After diagnosis, it is crucial to promptly perform surgery to remove the tumor, aiding the patient in a quick recovery.