Throat cancer refers to cancerous tumors that develop in your throat (pharynx), voice
box (larynx) or tonsils.
Your throat is a muscular tube
that begins behind your nose and ends in your neck. Your voice box sits just
below your throat and is also susceptible to throat cancer. The voice box is
made of cartilage and contains the vocal cords that vibrate to make sound when
you talk. Throat cancer can also affect the piece of cartilage (epiglottis)
that acts as a lid for your windpipe. Tonsil cancer, another form of throat
cancer, affects the tonsils, which are located on the back of the throat.
You can reduce your risk of
throat cancer by not smoking, not chewing tobacco and limiting alcohol use.
You cannot pick up the signs of cancer
quickly enough most of the times. Some cancers are so deceptive that they
cannot be detected until the later stages. Cervical cancer for example, is very
hard to detect. However, throat cancer symptoms are rather obvious if you
remain watchful. We all come under the cancer risk scanner now. So it is both
smart and feasible to look out for throat cancer symptoms.
There are many causes of throat cancer.
Smoking and chewing tobacco is among the main causes of throat cancer. If you
feel that you come in the high risk category for cancer, keep your eyes open
for these early throat cancer symptoms.
Difficulty In Swallowing
Difficulty in swallowing is one of the
first signs of cancer. Cancer grows as a tumour in your throat. And if you have
an additional growth in your throat, it will obstruct the passage of food or
even make it difficult to swallow just like that.
Roughness In The Larynx
You must have had a rough feeling in
your throat just before you come down with an infection. It is a feeling of
discomfort that is hard to ignore. If you have started developing throat
cancer, you will feel this roughness 24x7.
Voice Changes
If the cancer is growing around your
vocal chords then it will cause obvious voice changes. Even booming baritones
can be reduced to feeble whining voices if you have a cancerous growth in your
throat. Consult your doctor as soon as you see the first signs of an apparent
voice change.
Persistent Cough
When you have a persistent cough that
makes your voice hoarse, it is called smoker's cough. Developing a smoker's
cough is one of the first throat cancer symptoms. And if you ignore this
symptom, you stand the risk of developing cancer at any point of time. Every
one who has a smoker's cough does not have cancer. But do you really want to
count on getting lucky?
Strange Breathing Sounds
When you breathe, the air passes
through your pharynx and then goes on to your trachea. One of the throat cancer
symptoms is that you make strange, often whistling hoarse sounds while you
breathe.
If you notice any of these throat
cancer symptoms, rush to the doctor immediately. There is no antidote for lost
time when it comes to treating cancer.
Your treatment options are based
on many factors, such as the location and stage of your throat cancer, the type
of cells involved, your overall health, and your personal preferences. Discuss
the benefits and risks of each of your options with your doctor. Together you
can determine what treatments will be most appropriate for you.
Radiation therapy
Radiation therapy uses
high-energy beams, such as X-rays, to deliver radiation to the cancer cells,
causing them to die. Radiation therapy can come from a large machine outside
your body (external beam radiation). Or radiation therapy can come from small radioactive
seeds and wires that can be placed inside your body, near your cancer
(brachytherapy).
For early-stage throat cancers,
radiation therapy may be the only treatment necessary. For more advanced throat
cancers, radiation therapy may be combined with chemotherapy or surgery. In
very advanced throat cancers, radiation therapy may be used to reduce signs and
symptoms and make you more comfortable.
Surgery
The types of surgical procedures
you may consider to treat your throat cancer depend on the location and stage
of your cancer. Options may include:
·
Surgery for early-stage throat
cancer. Throat
cancer that is confined to the surface of the throat or the vocal cords may be
treated surgically using endoscopy. Your doctor may insert a hollow endoscope
into your throat or voice box and then pass special surgical tools or a laser
through the scope. Using these tools, your doctor can scrape off, cut out or,
in the case of the laser, vaporize very superficial cancers.
·
Surgery to remove all or part of
the voice box (laryngectomy). For
smaller tumors, your doctor may remove the part of your voice box that is
affected by cancer, leaving as much of the voice box as possible. Your doctor
may be able to preserve your ability to speak and breathe normally. For larger,
more-extensive tumors, it may be necessary to remove your entire voice box.
Your windpipe is then attached to a hole (stoma) in your throat to allow you to
breathe (tracheotomy). If your entire larynx is removed, you have several
options for restoring your speech. You can work with a speech pathologist to
learn to speak without your voice box.
·
Surgery to remove all or part of
the throat (pharyngectomy). Smaller
throat cancers may require removing only part of your throat during surgery.
Parts that are removed may be reconstructed in order to allow you to swallow
food normally. Surgery to remove your entire throat usually includes removal of
your voice box as well. Your doctor may be able to reconstruct your throat to
allow you to swallow food.
·
Surgery to remove cancerous lymph
nodes (neck dissection). If
throat cancer has spread deep within your neck, your doctor may recommend
surgery to remove some or all of the lymph nodes to see if they contain cancer
cells.
Surgery carries a risk of
bleeding and infection. Other possible complications, such as difficulty
speaking or swallowing, will depend on the specific procedure you undergo.
Chemotherapy
Chemotherapy uses chemicals to
kill cancer cells. Chemotherapy is often used along with radiation therapy in
treating throat cancers. Certain chemotherapy drugs make cancer cells more
sensitive to radiation therapy. But combining chemotherapy and radiation
therapy increases the side effects of both treatments. Discuss with your doctor
the side effects you're likely to experience and whether combined treatments
will offer benefits that outweigh those effects.
Targeted drug therapy
Targeted drugs treat throat
cancer by taking advantage of specific defects in cancer cells that fuel the
cells' growth. Cetuximab (Erbitux) is one targeted therapy approved for
treating throat cancer in certain situations. Cetuximab stops the action of a
protein that's found in many types of healthy cells, but is more prevalent in
certain types of throat cancer cells.
Other targeted drugs are being
studied in clinical trials. Targeted drugs can be used in combination with
chemotherapy or radiation therapy.
Rehabilitation after treatment
Treatment for throat cancer often
causes complications that may require working with specialists to regain the
ability to swallow, eat solid foods and talk. During and after throat cancer
treatment, your doctor may have you seek help for:
·
The care of a surgical opening in
your throat (stoma) if you had a tracheotomy
·
Eating difficulties
·
Swallowing difficulties
·
Stiffness and pain in your neck
·
Speech problems
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