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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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