The hoarseness test turned out to be throat cancer, and the doctor warned against these symptoms.

Liu Bo, a 65-year-old patient, developed hoarse voice symptoms four months ago and gradually worsened, recently, he came to Sun Yat-sen Memorial Hospital, Sun Yat-sen Memorial Hospital otolaryngology department, diagnosed with vocal throat cancer.
, deputy director of the otolaryngology department of The Hospital of Otolaryngology, performed a lesions removal for Liu Bo, and repaired it with a broad muscle flap in the neck, and the sound function was well preserved after surgery.
experts say that the repair of the neck broad muscle flap is an effective way to repair the pronunciation function of patients in the treatment of throat cancer.
the voice hoarse thought it was just "throatitis", the result of the examination was throat cancer 4 months ago, Liu Bo appeared hoarse voice, throat discomfort symptoms, but he did not think that has been treated as chronic sore throat disease, it is throat cancer.
Cai Qian deputy director of the doctor revealed that the patient in the symptoms appeared four months later, the voice hoarse gradually increased, the voice is weak, so went to Sun Yat-sen Memorial Hospital, Sun Yat-sen Memorial Hospital otolaryngology clinic.
Cai Qian, deputy director of the department, asked Liu Bo about his condition in detail and did an electronic laryngoscopy for Liu Bo.
Electronic laryngeal mirror results show that Liu Bo left vocal belt fixed, vocal tape surface has a cauliflower-like swelling, after a pathological tissue biopsy showed high differentiation squamous cell carcinoma, and combined with throat MRI examination, the follow-up team finally diagnosed Liu Bo as left vocal laryngeal cancer (T3N0M0, differentiated squamous cell carcinoma).
After communication, Liu Bo decided to be hospitalized for surgery, and by Cai Qian Deputy Director of Physicians for its "tracheotomy and left neck selection area lymph node cleaning, left vertical semi-throat removal, neck broad muscle flap reconstruction throat cavity" surgery.
surgery length of about 2 hours, surgery to remove the vocal belt and part of the A-shaped cartilage, first using the front of the neck band muscle as a support to repair the invasive surface, and then using the neck broad muscle flap to reshape the pronunciation site.
Cai Qian, deputy director of the Department of Medicine, said that in order to avoid affecting postoperative breathing and pronunciation function, repair tissue should be moderate in volume, not too crowded or too little.
postoperative pronunciation affected? Neck broad muscle flaps also patients with normal voice many patients and Liu Bo have the same concern - check out the vocal door throat cancer, does it mean loss of voice? According to the size of the tumor and the degree to which the tumor invades the tissue, the primary lesions of malignant tumors are generally divided into four levels clinically, and the severity increases from T1 to T4.
the otolaryngology team at Sun Yat-sen Memorial Hospital, Sun Yat-sen University, revealed that T1 vocal laryngeal cancer can be treated with oral laser microscopic surgery (TLM) or radiotherapy (RT), after treatment patients can basically retain pronunciation function.
And for the larger one-sided T2 or T3 sound door throat cancer, some of the patients can also use the oral laser microscopic surgery, but need to remove a wider range of throat tissue, postoperative tissue defects are more, if not repaired in time, after treatment of the pronunciation effect is relatively poor, hoarse voice serious, patients talk laborily and difficult to identify speech content.
liu bo's case, the surgical team used the neck broad muscle flap to repair the larynx defect after the tumor was removed, remodeling the patient's pronunciation structure, and successfully retaining the patient's normal voice.
surgery team, the neck broad muscle flap structure and vocal belt structure are very similar, so after repair patients can produce good pronunciation results.
Cai Qian deputy director of the doctor on the neck broad muscle flap metastasis repair laryngeal pronunciation effect was statistical, found that one-sided vocal lesions-based T2, T3 vocal pelvic throat cancer open surgery, the neck broad muscle flap is a very good re-pronunciation structure of the organization, after surgery, 69.6% of patients can get good pronunciation function, the technology has been recognized by peers and has been published in the international top clinical journal head and neck tumor Head Neck as a cover article.
According to the surgical team, a week after the successful completion of the operation, Liu Bo has been able to eat, a month later the team for its removal of the trachea casing, 3 months after the operation to review the fiber laryngeal mirror shows that the flap growth is good, when the sound of the laryngeal dynamic mirror can be seen under the flap formation of flap waves.
after the operation, Liu Bo's voice recovered very well, "as if he had never had surgery, except for the traces of surgery on his neck, which is no different from normal people, " Liu said.
experts remind: sound door throat cancer is not uncommon, these symptoms need to pay attention to Liu Bo's vocal throat cancer is what kind of disease? What symptoms do I need to be aware of? According to statistics, laryngeal cancer in the head and neck tumors in the second most common degree, the incidence of throat cancer accounted for about 1-5% of systemic malignancies.
because the throat is the body's swallowing, pronunciation and breathing organs, so throat disease often leads to dysphagia and breathing difficulties.
type of throat cancer refers to the malignant tumor that is originally found in the vocal belt and is the most common type of throat cancer.
hoarse voice is the most typical manifestation of the early stage of vocal throat cancer, often accompanied by easy to pronounce tired, weak, easy to be mistaken for "chronic pharyngitis, cold."
the patient's voice may gradually increase or even lose its voice as the condition worsens.
Because the vocal door is the narrowest place in the respiratory tract, the development of vocal tract throat cancer to a certain extent will affect vocal band outreach, resulting in limited or even fixed vocal tract movement, coupled with blocked tumor tissue, patients may also have symptoms of breathing difficulties.
In view of the early diagnosis, timely treatment is the key to improve the cure rate of throat cancer, Dr. Cai Qian suggested that anyone over 40 years of age, hoarse voice or other throat discomfort more than 3-4 weeks, and after the drug treatment effect is not good patients, should go to the otolaryngology for detailed examination.
if an indirect laryngoscope or fibroary laryngeal mirror finds a rough surface of the vocal band, or even a cauliflower-like new creature, a tissue pathology biopsy is required.
who have been diagnosed with throat cancer also need to have a throat CT or MRI examination to identify the stages.
Huang Rui, Zhang Yang Source: 39 Health.com Copyright Notice: All text, images and audio and video materials that indicate "Source: Mets Medicine" or "Source: MedSci Original" are owned by Mets Medical, and are not authorized to be reproduced by any media, website or individual, and must be reproduced with the words "Source: Mets Medicine".
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