Does throat cancer require the removal of the throat?

Written by Deng Bang Yu
Otolaryngology
Updated on February 19, 2025
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Laryngeal cancer is a malignant tumor in the larynx, clinically mainly squamous cell carcinoma. The treatment of laryngeal cancer primarily involves comprehensive treatment centered around surgery, which is adapted according to the type of laryngeal cancer the patient has and the extent of the lesion. For some early-stage tumors, such as carcinoma in situ or T1 stage tumors, treatment often involves local removal with a laser or radiation therapy, after which a cure is achieved without the need for partial or total laryngectomy. This approach preserves the function of the larynx, especially the function of phonation. In summary, the treatment of laryngeal cancer should be based on its specific circumstances and does not necessarily involve the removal or excision of the larynx.

Other Voices

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Written by Li Rui
Otolaryngology
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Postoperative Care for Laryngeal Cancer

Postoperative care for throat cancer is crucial and mainly includes the following aspects: First, it is vital to maintain a clear airway. After throat cancer surgery, most patients will require a tracheotomy, which means regular suctioning is necessary to ensure the airway remains clear. Special attention should be paid to prevent obstruction of the tracheal cannula, as blockage could lead to breathing difficulties and even suffocation in severe cases. Secondly, regarding diet, most patients need a liquid diet administered through a gastric tube immediately following throat cancer surgery, as they are temporarily unable to eat through the mouth or throat. This usually lasts about two weeks. Thirdly, in terms of routine postoperative care, patients should not stay in bed for an extended period. Prolonged bed rest can increase the risk of developing bedsores or vascular thrombosis.

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Written by Li Rui
Otolaryngology
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Can early-stage throat cancer be cured?

If we are talking about early-stage laryngeal cancer, generally speaking, the cure rate is relatively high. The main treatment methods for early-stage laryngeal cancer are primarily surgical, although radiation therapy can also be considered for some patients. However, specific treatments still need to be tailored according to the patient's own condition and the pathological staging and typing. If the cancer is well-differentiated, the treatment outcomes are generally better. If it is poorly differentiated or moderately differentiated, even though it is early-stage laryngeal cancer, the cure rate is relatively lower, especially within the first two years and the first five years. If a five-year survival rate is achieved without evident recurrences or metastases, this is considered a standard for clinical cure. However, regular follow-ups are still necessary due to the potential risk of recurrence.

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Written by Yan Chun
Oncology
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Stage II throat cancer is the situation.

The so-called Stage II laryngeal cancer refers to the degree of differentiation of cancer cells, classified as moderately malignant. This type of differentiated cancer cells has a tumor growth rate that is between Stage I and Stage III, and shows certain characteristics of invasion and metastasis. Stage II laryngeal cancer generally tends to metastasize via the lymphatic pathways, and some patients may also experience hematogenous pathway metastasis. Clinically, patients with Stage II laryngeal cancer may present with symptoms localized to the larynx as well as symptoms of metastatic sites. Patients may experience symptoms such as hoarseness, cough, expectoration, and a foreign body sensation in the throat. When metastasis occurs, respiratory symptoms like coughing and coughing up blood can appear.

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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 Li Rui
Otolaryngology
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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.