Precursors of throat cancer

Written by Cheng Fu Wei
Otolaryngology
Updated on March 23, 2025
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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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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 cured after recurrence?

Laryngeal cancer is a relatively common type of head and neck malignancy. If laryngeal cancer recurs, it becomes more difficult to treat, and only a small portion of patients can achieve clinical cure, with the majority finding it difficult to be cured. In terms of treatment options, the first step is to assess the severity of the condition, and it is recommended to conduct a laryngoscopy and a CT scan of the larynx. Some patients might consider undergoing a total laryngectomy, while others may opt for radiotherapy and chemotherapy. However, the specific treatment option should be chosen based on the severity of the patient’s condition, their overall health, and the patient’s own wishes. After treatment, regular follow-ups are necessary to monitor the effectiveness of the treatment.

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Written by Li Rui
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"What does it mean when throat cancer discharges pus?"

Throat cancer is a relatively common otolaryngology disease with numerous clinical symptoms, the most common being sore throat and a sensation of a foreign body in the throat. Some patients may experience hoarseness and difficulty breathing. If there is pus discharge, this situation might be considered to be associated with a bacterial infection, potentially due to the condition of the throat cancer itself that then leads to a localized bacterial infection and abscess. In such cases, treatment initially involves using antibiotics to combat the infection. After controlling the acute inflammation, most patients need to consider surgical treatment. Depending on the clinical stage and type of the patient, radiotherapy or chemotherapy might also be considered after surgery. After the treatment is completed, regular follow-ups are necessary to monitor the treatment results.

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What causes throat cancer?

Throat cancer is a malignant tumor that occurs in the throat area. Its causes are not clear, but it is generally associated with long-term smoking, drinking, exposure to toxic and carcinogenic substances, as well as gastrointestinal dysfunction, acid reflux irritation, prolonged loud speaking, staying up late, fatigue, and malignant transformation of benign tumors, which lead to symptoms in the throat area. It causes persistent hoarseness in patients, and the symptoms progressively worsen. Patients may also experience a foreign body sensation in the throat, a feeling of blockage, a burning sensation, and sometimes difficulty swallowing. Patients should first go to the hospital for a detailed examination with an electronic laryngoscope, which can reveal cauliflower-like neoplasms or ulcers in any part of the throat. If such findings are present, a local biopsy is needed. If the biopsy confirms the presence of a malignant tumor, local surgery, radiotherapy, or chemotherapy is required for treatment.

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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.