How is laryngeal cancer diagnosed?

Written by Deng Bang Yu
Otolaryngology
Updated on September 18, 2024
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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.

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Written by Xu Qing Tian
Otolaryngology
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What is good for patients with throat cancer to eat?

Laryngeal cancer is a common disease in otolaryngology and is also a type of malignant tumor with a high degree of malignancy. Before surgery, it is generally recommended that patients with laryngeal cancer primarily consume a warm, semi-liquid diet, and avoid spicy and overly greasy food. It is important to control the patient's blood pressure and blood sugar. Additionally, once a tumor diagnosis is confirmed, timely surgical treatment should be carried out to remove the tumor. After surgery, patients typically need to fast from water for about 2-3 weeks and are fed through a gastric tube. During this time, a liquid diet should predominate and can be supplemented with eggs and minced meat to enhance protein intake and resistance, thereby improving immunity.

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Written by Li Mao Cai
Otolaryngology
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Is a hoarse voice an indication of throat cancer?

Hoarseness does not necessarily indicate laryngeal cancer because there are many diseases that can cause hoarseness. Common ones include vocal cord nodules, vocal cord polyps, acute laryngitis, chronic laryngitis, vocal cord grooves, and laryngeal cancer. The primary approach should be to visit an ENT (Ear, Nose, and Throat) department in a hospital, undergo an electronic fibrolaryngoscopy, and then determine the specific lesion based on the examination results. It is incorrect to diagnose laryngeal cancer based solely on hoarseness. For instance, some types of laryngeal cancer, such as supraglottic or subglottic, may cause hoarseness symptoms to appear late or even not at all. Therefore, while hoarseness does not necessarily mean laryngeal cancer, laryngeal cancer can potentially cause hoarseness. It is crucial to seek timely medical attention and undergo electronic fibrolaryngoscopy for a basic definitive diagnosis when hoarseness occurs. Apart from diseases of the throat, conditions affecting the thyroid, mediastinum, and esophagus can also cause hoarseness when they progress to a certain stage. Thus, hoarseness is a symptom that can be caused by many diseases, but it is not necessarily indicative of laryngeal cancer. Supraglottic laryngeal cancer, however, can manifest hoarseness as an early symptom. Therefore, it is critical to seek medical attention promptly once this symptom occurs.

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Written by Xu Qing Tian
Otolaryngology
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How long does it take for throat cancer to develop?

Throat cancer is a common malignant tumor in otolaryngology, which usually forms over the course of a year or half a year. However, patients typically have long-term chronic stimuli and medical history before the tumor changes occur, such as a long history of smoking or drinking, as well as exposure to physical and chemical factors. Early symptoms of throat cancer often include hoarseness, while in the mid to late stages, patients may experience difficulty swallowing and breathing difficulties. We can make a definite diagnosis through local pathological biopsy, electronic laryngoscopy, and CT scans of the throat area. Early detection of throat cancer should lead to timely surgical treatment, followed by radiotherapy and chemotherapy. For late-stage patients who are not suitable for surgery, chemotherapy or radiotherapy should be administered promptly to extend the patient's lifespan.

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Written by Xu Qing Tian
Otolaryngology
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What foods should be eaten for throat cancer?

Laryngeal cancer is a common malignant tumor in everyday life. In the early stages, patients with laryngeal cancer usually experience symptoms such as hoarseness, coughing, and a foreign body sensation. In the middle and late stages, patients may suffer from breathing difficulties or even choking, as well as swallowing difficulties. When symptoms of laryngeal cancer appear, we should initially complete examinations with an electronic laryngoscopy, laryngeal CT scan, and pathological biopsy to determine the pathological type of the patient, to confirm the diagnosis. At the same time, we should pay attention to a light diet, primarily warm, cold, and semi-liquid foods, and avoid smoking and drinking alcohol. Additionally, we should detect tumors early and treat them promptly through surgery.

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Written by Li Rui
Otolaryngology
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Can throat cancer be cured?

Throat cancer is a relatively common type of head and neck malignancy with a high clinical incidence. Most patients require surgical treatment, and some need comprehensive treatment combining radiotherapy and chemotherapy. Generally, patients diagnosed in the early stages have better treatment outcomes and higher five-year survival rates. Typically, achieving a five-year survival rate after standardized surgery or radiotherapy and chemotherapy is considered a clinical cure. However, the proportion of patients in the middle to late stages achieving this is relatively low. Therefore, regular follow-ups are necessary to monitor the recovery process, regardless of the stage or type of the disease.