Tuesday, January 29, 2019

Persistent sore throat a greater warning of larynx cancer than hoarseness

According to a study, a persistent sore throat combined with shortness of breath, problems swallowing or an earache is a greater sign of laryngeal cancer than hoarseness alone. Therefore family physicians should consider larynx cancer when patients report a persistent sore throat, particularly when combined with  other seemingly low-level symptoms.

The study of more than 800 patients diagnosed with cancer of the larynx has found more than a 5 % risk of cancer from a persistent sore throat combined with one of these other symptoms. This compares with a 2.7% risk for hoarseness alone.

each year, more than 1,700 people were diagnosed with cancer of the larynx. Of those, 80 % were male. The number has risen by almost a third over the past 20 years, with tobacco and alcohol use strongly linked to the disease.


Lead author said, " UK still lags well behind the rest of Europe on cancer survival rate- although our research is part of a body of work that is leading to significant improvements. There is still some way to go and the results of this study really highlight the need to improve the current recommendations for all of the head and neck caners- which are either incomplete or absent".

The research aims to facilitate earlier detection of cancer, which is key in getting the best survival rates and health outcomes for patients. Current guidelines recommend investigation for persistent hoarseness or an unexplained neck lump. The new research gives greater insight into the combinations of symptoms physicians should be alert to when deciding who should be investigated for cancer.


One of the authors said- the research matters, when guidance for cancer investigation was published there was no evidence from physician practices to guide this- nor to inform physicians. Crucially, hoarseness serious enough to be reported to physicians does warrant investigation. The research has shown the potential severity of some symptom combinations previously thought to be low-risk.


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Read more at Speciality Medical Dialogues: Persistent sore throat a greater warning of larynx cancer than hoarseness https://speciality.medicaldialogues.in/persistent-sore-throat-a-greater-warning-of-larynx-cancer-than-hoarseness/

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Tuesday, April 18, 2017

Laryngeal cancer: Active or passive smoking leads to cancer in 'voice box'

Tobacco is considered to be one of the most important avoidable lifestyle related cause of cancer in the world.

It causes variety of cancers- of the lung, esophagus, larynx, mouth, throat, kidney, bladder, liver, pancreas and stomach.

According to the World Health Organization (WHO) tobacco use nearly kills six million people worldwide each year.

It is also estimated that there were 100 million premature deaths due to tobacco in the 20th century, globally. If the trends in tobacco consumption continue, the number is expected to rise to one billion in the 21st century.

Head and neck cancers are the most common one in developing countries, especially in Southeast Asia and the use of tobacco is one of the biggest risk factors for head and neck cancer.

According to Dr Vikram Kekatpure, senior consultant - Head and Neck Surgical Oncology, the risk of various cancers of the head and neck is often higher in tobacco smokers and chewers than in no tobacco users.

Majority of individuals with these cancers have a history tobacco use. Various form of smokeless tobacco like gutka, khaini, and smoking cigarettes, pipes, and cigars along with passive smoking all increase the chance of getting these cancers.

Laryngeal cancer is the cancer, arising in the larynx, or the "voice box", the area of the throat which includes the vocal cords.

It is a type of head and neck cancer and is frequently diagnosed in smokers.

Dr Kekatpure further said, besides smoking, chronic voice abuse is a risk factor. This cancer is also considered to be one of the 10 leading causes of cancer in Indian men.

Laryngeal cancer in India contributes to approximately three to six percent of all cancers in men. Laryngeal cancer is also considered to be one of the easier cancers to detect as symptoms develop early with hoarseness of voice and then advances to breathing problems in later stages.

If the hoarseness of voice persists for more than 3 weeks it is advisable to get a laryngoscopy.

Some other symptoms associated with Laryngeal cancer include lump in throat sensation, difficulty in swallowing, weight loss, chronic cough, neck swelling and shortness of breath.

The treatment of Laryngeal cancer is according to the stage of disease, he added.

Voice is a critical necessity for human connection and social outlook. If laryngeal cancer is detected in an early stage, the vocal cord and therefore voice function can be preserved. In initial stages the treatment is organ preservation with radiation therapy.

However, in advance stages, the surgery to remove voice box is required. Even after removal of the voice box, rehabilitation with artificial voice is possible.

Smoking during and after treatment of Laryngeal cancer has an adverse prognosis. Smoking not only increases the risk of cancer relapse - but also increases the risk of getting another type of cancer, said Dr Kekatpure.

It is good to be alert regarding various symptoms for Laryngeal cancer.

If there is persistent hoarseness of voice for more than 3 weeks it is advisable to get examined voice box examined (laryngoscopy) by an ear, nose and throat (ENT) specialist.Right now, it is well-accepted that chances of developing cancer are affected by the lifestyle choices you make.

Hence it is advisable to stop smoking to decrease the chances of laryngeal cancer.

 
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