LARYNGEAL CANCER

malignant tumour of the larynx. There are two types of tumours found on the larynx that can be malignant. One is called a carcinoma; the other, called a papilloma, often is benign but occasionally becomes malignant. The papilloma is the most common tumour of the larynx. It is a small warty growth that attaches to the vocal cords or at the joints between the cartilage plates. It is most frequent in singers, announcers, and people who use their voices strenously and often. In adults it may form many polyps (lumps of tissue) that can plug the larynx; after removal it may reappear. A similar condition may occur in children, except that when they reach puberty the growths usually disappear spontaneously. Carcinoma of the larynx occurs more often in males. It frequently arises from chronic irritation, overuse of the voice, or alcohol and tobacco abuse. There are two types, called, respectively, intrinsic and extrinsic. The intrinsic form attacks the vocal cords. The tumour originates from the lining of the larynx. It often remains confined to the larynx, and the patient has a good chance of recovery when the tumour is removed. The extrinsic form grows in the area above the vocal cords and folds and may extend to the epiglottis (a flap of cartilage above the larynx) or the pharynx, the upper throat. It usually invades the surrounding tissue and can spread by way of the lymphatic vessels. Carcinoma begins as a small hard patch or papillary tumour. There may be extensive destruction, ulcers, and abscesses. Laryngeal cancer is a relatively common disease that can be treated in the early stages. Unfortunately, 8 to 10 months may elapse before the first symptoms of hoarseness appear and a diagnosis is made.