Hoarse for more than a month beware of laryngeal cancer experts: don’t be blind to protect your throat, it is more important to save your life.
Guangzhou Daily News (all-media reporter Ren Shanshan correspondent Yu Guangbiao) The hoarse voice has not improved for more than a month, not necessarily "getting angry", but more likely laryngeal cancer! If you smoke for a long time, you should be more alert to the risk of laryngeal cancer.
Recently, the first member congress of the professional committee of laryngopharyngeal cancer of Guangdong Clinical Medical Association and the second standardized diagnosis, treatment and new progress course of laryngeal and laryngopharyngeal cancer were held in Guangzhou. Professor Liu Xuekui, Chairman of the Professional Committee of Laryngolaryngeal Tumors of Guangdong Clinical Medical Association and Head and Neck Surgery of Cancer Prevention Center of Sun Yat-sen University, pointed out that in recent years, the incidence of laryngeal cancer has shown an increasing trend, ranking second among all head and neck tumors, and the incidence has shown a younger trend. He reminded that men who have a history of smoking and are over 40 years old should see a doctor as soon as possible and have an electronic laryngoscope examination once they have hoarseness for more than a month frequently, or if the heat-clearing and anti-inflammatory treatment according to pharyngitis does not work.
Liu Xuekui pointed out that the 5-year survival rate of early treatment of laryngeal cancer can reach more than 90%, and once it is diagnosed in the advanced stage, the survival rate will drop sharply. "Like many cancers, in China, when many patients with laryngeal cancer are diagnosed, they often reach the middle and late stage, and the treatment of advanced laryngeal cancer is still a problem." He reminded that patients with suspicious symptoms of laryngeal cancer should be examined by electronic laryngoscope. The examination cost of electronic laryngoscope is not high, and it is very convenient. Once you see a suspicious tumor in the throat, the doctor takes a sample for pathological examination, which is conducive to the early diagnosis.
At present, the clinical treatment methods for laryngeal cancer mainly include radiotherapy, surgical treatment, comprehensive treatment of radiotherapy and surgery. Generally speaking, the treatment of early laryngeal cancer is mainly surgery and radiotherapy, and comprehensive treatment is needed in the middle and late stage.
The traditional treatment mode of locally advanced laryngeal cancer is total laryngectomy plus postoperative radiotherapy, and the lesion is completely removed. The survival situation of patients is still optimistic. However, under this treatment mode, the function of larynx is often seriously damaged or even unable to be preserved, which affects the respiratory function and vocal function of patients and leads to poor quality of life.
In recent years, with the medical profession paying more and more attention to the quality of life of cancer patients, some doctors have proposed that the laryngeal function should be preserved as much as possible in the treatment of advanced laryngeal cancer, and radiotherapy and chemotherapy should be carried out first, and then surgical resection should be carried out if the effect is not good or the disease recurs.
Liu Xuekui pointed out that it is important to preserve laryngeal function, but it is more important to save the patient’s life first. Clinical practice shows that radiotherapy and chemotherapy are difficult to achieve good results in a considerable number of patients with laryngeal cancer. Under the treatment idea of "preserving function first", patients may miss the best opportunity for surgical resection and eventually fail to operate. "It is equivalent to that if the scheme of radiotherapy first and then surgery is not effective, the previous radiotherapy and chemotherapy will be wasted, and the radiotherapy and chemotherapy after surgery will be ‘ Remedy ’ The opportunity is also lost. " He believes that when deciding the treatment plan, doctors need to make careful choices, depending on the specific situation of patients.
It is worth mentioning that in recent years, Liu Xuekui innovatively used titanium mesh stent to reconstruct laryngeal function, which provided another safer, more reliable and economical treatment method for patients and brought good news to patients. At present, this new technology has won the national invention patent and has been adopted by many hospitals in China.