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 Li Mao Cai
Otolaryngology
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Can you eat after a total laryngectomy for throat cancer?

After the total laryngectomy for throat cancer, a period of recovery is necessary, during which time liquid food is administered via a nasogastric tube. Once recovery is complete, it is possible to eat orally. Because the entire larynx is removed during a total laryngectomy, the functions of voice and breathing are lost, and breathing is instead facilitated through a tracheostomy in the neck. Eating is completely unaffected. After recovery from the total laryngectomy, food is ingested orally, passes through the pharynx, and goes directly into the esophagus. Thus, it is possible to eat orally after a total laryngectomy for throat cancer.

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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 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 Li Rui
Otolaryngology
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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 Sun Ming Yue
Medical Oncology
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Will throat cancer recur after surgery?

After undergoing surgical treatment for throat cancer, it is important to pay attention to your diet, arrange your daily routine reasonably, maintain a cheerful mood, and have regular follow-up exams as directed by your doctor. Generally, there is a possibility of recurrence within five years. It is recommended to consume some traditional Chinese medicines that have good anti-tumor effects to prevent the recurrence of the disease. Additionally, change your physical constitution and enhance your body's immunity.