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Highlights  |  Understanding the Disorder  |  Symptoms  |  Diagnosis  |  Treatment
Laryngeal Atypia and Early Cancer: Highlights

Vocal Fold Atypia

Vocal fold atypia often appear as whitish or reddish lesions on the vocal fold surface, and are comprised of abnormal-looking cells that are not cancerous. Thought to be a prequel to cancer, atypia are usually considered as pre-cancerous or pre-malignant.

Early Vocal Fold Cancer

Early vocal fold cancer also appear as whitish or reddish lesions, but have abnormal-looking cells that have invaded the boundary of the top layer of the vocal fold.

Early cancer may affect one or both vocal folds and are often referred to as T1 or T2 type vocal fold cancers that have not spread to neck lymph nodes or elsewhere in the body.

Symptoms Do Not Distinguish Vocal Fold Atypia from Early Cancer

Because voice symptoms are similar for both atypia and early cancer, symptoms alone do not distinguish between vocal fold atypia and early cancer. Medical consultation is necessary.

Smokers Are Vulnerable

Smoking is the single greatest risk factor for developing vocal fold atypia and cancer. Risk increases with the number of cigarettes smoked and years spent smoking. A scratchy, low voice in a smoker should not simply be dismissed as "smoker's laryngitis" since vocal fold cancer – a potentially life threatening disease – might be present.

Disease Trends

Vocal fold atypia can and often do recur. Early cancer can lead to advanced cancer which can be life-threatening.

Treatment Perspective

Early diagnosis and complete excision of the affected area result in excellent cure rates.

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AlertAdvisory Note

Patient education material presented here does not substitute for medical consultation or examination, nor is this material intended to provide advice on the medical treatment appropriate to any specific circumstances.

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