Throat or larynx cancer
Throat cancer is cancer of the vocal cords, larynx (voice box), or other areas of the throat.
Vocal cord cancer; Throat cancer; Laryngeal cancer; Cancer of the glottis; Cancer of oropharynx or hypopharynx
People who smoke or use tobacco are at risk of developing throat cancer. Drinking too much alcohol over a long time also increases risk. Smoking and drinking alcohol combined lead to an increased risk for throat cancer.
Most throat cancers develop in adults older than 50. Men are more likely than women to develop throat cancer.
Symptoms of throat cancer include any of the following:
- Abnormal (high-pitched) breathing sounds
- Coughing up blood
- Difficulty swallowing
- Hoarseness that does not get better in 3 to 4 weeks
- Neck or ear pain
- Sore throat that does not get better in 2 to 3 weeks, even with antibiotics
- Swelling or lumps in the neck
- Weight loss not due to dieting
Exams and Tests
The health care provider will perform a physical exam. This may show a lump on the outside of the neck.
The provider may look in your throat or nose using a flexible tube with a small camera at the end.
Other tests that may be ordered include:
- Biopsy of suspected tumor
- Chest x-ray
- CT scan of chest
- CT scan of head and neck
- MRI of the head or neck
- PET scan
The goal of treatment is to completely remove the cancer and prevent it from spreading to other parts of the body.
When the tumor is small, either surgery or radiation therapy alone can be used to remove the tumor.
When the tumor is larger or has spread to lymph nodes in the neck, a combination of radiation and chemotherapy is often used to save the voice box (vocal cords). If this is not possible, the voice box is removed. This surgery is called a laryngectomy.
You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone.
Throat cancers may be cured when detected early. If the cancer has not spread (metastasized) to surrounding tissues or lymph nodes in the neck, about half of patients can be cured. If the cancer has spread to the lymph nodes and parts of the body outside the head and neck, the cancer is not curable. Treatment is aimed at prolonging and improving quality of life.
After treatment, therapy is needed to help with speech and swallowing. If the person is not able to swallow, a feeding tube will be needed.
The recurrence risk in throat cancer is highest during the first 2 to 3 years of diagnosis.
Regular follow-up after the diagnosis and treatment is very important to increase the chances of survival.
Complications of this type of cancer may include:
- Airway obstruction
- Difficulty swallowing
- Disfigurement of the neck or face
- Hardening of the skin of the neck
- Loss of voice and speaking ability
- Spread of the cancer to other body areas (metastasis)
When to Contact a Medical Professional
Call your provider if:
- You have symptoms of throat cancer, especially hoarseness or a change in voice with no obvious cause that lasts longer than 3 weeks
- You find a lump in your neck that does not go away in 3 weeks
Do not smoke or use other tobacco. Limit or avoid alcohol use.
Armstrong WB, Vokes DE, Verma SP. Malignant tumors of the larynx. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 106.
Garden AS, Beadle BM, Morrison WH. Larynx and hypopharynx cancer. In: Gunderson LL, Tepper JE, eds. Clinical Radiation Oncology. 4th ed. Philadelphia, PA: Elsevier; 2016:chap 35.
Lorenz RR, Couch ME, Burkey BB. Head and neck. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 33.
National Cancer Institute website. Nasopharyngeal cancer treatment (adult) (PDQ) - health professional version. www.cancer.gov/types/head-and-neck/hp/adult/nasopharyngeal-treatment-pdq. Updated January 12, 2018. Accessed January 31, 2018.