Do the early symptoms of laryngeal cancer include coughing?

Written by Zhang Jun
Otolaryngology
Updated on January 30, 2025
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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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Written by Cheng Fu Wei
Otolaryngology
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Precursors of throat cancer

Nasopharyngeal cancer, located behind the nasal cavity and above the oropharynx, is generally difficult to diagnose early due to its concealed location. However, there are early signs, such as nasopharyngeal bloodstained mucus experienced during sniffing, which should raise suspicions of nasopharyngeal cancer. Additionally, early-stage nasopharyngeal cancer may present with unilateral nasal obstruction, which gradually progresses to more severe blockage. Another indication is the presence of a neck lump or enlarged lymph nodes, which also suggests the possibility of nasopharyngeal cancer. Other nonspecific reactions, such as dermatitis, dermatomyositis, or a general skin rash, should also be considered potential indicators of nasopharyngeal cancer. These signs require attention.

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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 Deng Bang Yu
Otolaryngology
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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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Written by Li Rui
Otolaryngology
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The Difference Between Throat Cancer and Esophageal Cancer

Throat cancer and esophageal cancer have essential differences, starting with the specific location of the disease. Throat cancer primarily occurs in the glottis and the supraglottic area, while esophageal cancer mainly occurs in the esophagus. Typically, the symptoms of throat cancer may be more characteristic, the most common being a foreign body sensation in the throat, throat pain, and hoarseness. Particularly, glottic throat cancer symptoms are more pronounced, which might include persistent and noticeable hoarseness. The primary symptoms of esophageal cancer are pain below the neck, which may be accompanied by difficulty swallowing or swallowing obstruction. For diagnosis, throat cancer is primarily assessed via laryngoscopy, while esophageal cancer is typically evaluated through gastroscopy. In terms of treatment, the approach generally focuses on surgery, potentially supplemented by radiotherapy and chemotherapy.

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Written by Xu Qing Tian
Otolaryngology
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recurrence rate of throat cancer after surgery

Throat cancer is a common malignant tumor in the head and neck diagnosed by otolaryngologists. Its occurrence is often related to prolonged smoking, drinking, air pollution, and other adverse environmental factors. Currently, the primary treatment for throat cancer is surgical intervention. The likelihood of recurrence after surgery varies from person to person. For early-stage throat cancer patients, the chance of recurrence is relatively low if a thorough excision is performed. Complete recovery rates are usually above 70%-80%. However, for patients with lymph node metastasis in the middle to late stages, recurrence rates are typically above 50%-60%.