vocal chord cancer (T1) laser treatment, need advice

Have had laser surgery in sept for early vocal chord t1 cancer and was told it was successful but a month ago I had a check up which revealed there has been a reacurrance ( though only small and on the surface) so have had more laser surgery in the hope that will do the trick as the surgeon says its too small to warrant radiotherapy. Has anyone else had this kind of treatment and is this usual?( reacurrance and more lasering). I'm very concerned that this treatment may not be working or that cancer may keep coming back, resulting in radiotherapy and the possibility of eventually loosing my voice box. I know its early days and I'm probably worrying too much but would be very grateful if there is anyone out there who can comment on this.

  • Hi Zarker

    I had severe displacia of the vocal chords around 5 years ago and was told that I needed laser treatment immediately as it "was very close to cancer". I had laser treatment a few times and had to have biopsies done around every 2 - 3 months but in my case it had gone too deep so they could only laser the surface and it kept coming back. If you are a smoker you should give it up immediately as my consultant told me to avoid smoke at all costs.

    I went on to have larygneal cancer but I was stage T2-3 when I was eventually diagnosed. I was successfully treated with radiotherapy 28 months ago and touch wood everything is fine and my voice is better than it's been for years.

    On a positive note they are closely monitoring you and as you are at a very early stage hopefully they will be able to get rid of it with laser treatment alone.

    I wish you well and hope that the next laser treatment will be the end of it.

    Marion x

  • Hi Marion ,

    Thanks very much for your reply it was most helpful. I hope you don't mind me asking but how long was it from when they found displacia to you being diagnosed with laryngeal cancer? As this is what I think may be happening to me. They said inicially It could be treated with laser alone and after my last laser treatment yesterday that the return was on the surface only and did not warrant rdiotherapy at the moment and he had done deeper biopsys which he says hes sure arn't cancerous. This has as you know been a very difficult time for me as i'm so scared of loosing my voice or having to have a laryngectomy which I've been told is unlikely. i'm reassured to know that after your treatment your voice is now good. Thank you again and I hope you continue to do well. Andy

    p,s gave up smoking 5 years ago and after this will never go back to it!

  • Hi Andy

    I hope my reply hasn't made you feel that it is inevitable that it will go on to be cancer as I'm sure that is not the case. I had displacia for around 2-3 years and during that time I had around 9 biopsies to keep checking. It was a bit of a roller coster ride - one visit everything would be fine and then next I'd be rushed in for a biopsy!

    Like you, the thought of losing my voicebox fills me with dread. I still worry about it now although as time goes by it gets easier as the risk of a reoccurence lessens with time. I opted for radical radiotherapy - 3 times a day over 2 and a half weeks instead of once a day for 6 weeks. I lost my voice for around 2 months during and after treatment but as I said, when it finally came back it was my "old" voice (having been husky for years).

    Like you, I was in the fortunate position of being closely monitored so that when it eventually turned to cancer, they caught it early. I was given a 95% success rate so I am trying to be positive that it won't come back.

    Take care and if you have any questions feel free as I usually come on this site a few times a week.

    Marion x

  • Hi Marion,

    Thanks for your reply. I have to try and stop worrying I guess there are people in a lot worse position than I am and I am thankful that they have caught it early, I must say I cannot fault the NHS they have been superb don't think I could have got better treatment privately, just hope this lasering will be my last as my throat still feels a bit sore but my voice is coming back,so fingers crossed! Thanks for messaging me its just good to talk to someone who's been through the same thing as friends have been great but don't really fully understand how it feels to be told you have cancer, what ever stage it is. Its been quite devastating for me, but with luck I will get thru this and am trying to keep positive and look forward to a time when I can lay this to rest. Have a great christmas and may your health continue to be good.

    Andy x

  • Hi Andy

    I've only just logged in and saw your reply. Just wanted to say I wish you well for the future and hope that the lasering has worked for you and that will be the end of it.

    Let's hope 2010 will be a healthy one for everyone!

    Love Marion x

  • Hi Andy, Marion,

    Sorry to come in to thread but was wondering of you give me some pointers about your conditions and experiences. I have just had my fourth biopsy taken for dysplasia of the vocal cords and am awaiting the results. The previous 3 have been severe so I am expecting the same or worse. My consultant has talked about Radiotherapy before and it looks like i will be heading in that direction.

    When you had your laser/biopsies for the dysplasia did your voice get worse every time. At the moment I can barely talk and this is really getting me down and fustrated. Also how bad is the Radiotherapy. Is it something i shuld dread or is it a comfortable option. Hope you can point me in the right direction.

    Chris

  • Hi Chris

    I had very severe dysplacia / borderline laryngeal cancer for around 2-3 years but sometimes at my appointments my larynx looked 'normal' so I was confused about how it could go from severe displacia to normal - so it doesn't always mean that it will definitely turn to cancer.

    After the biopsies/laser treatment my voice was worse for a while but got a bit better over time although it was always "husky" at the best of times and sounded like I had a sore throat.

    In my case it did turn to cancer and I had radical radiotherapy - 38 treatments, 3 times a day for 2 and a half weeks. It was very unpleasant but something I knew I had to go through to get better. I was terrified of having my voicebox removed and I am so grateful to my consultant for constantly monitoring me.

    If you do have to have radiotherapy you will have to have a mask made which fits tightly over your face and shoulders and fixes to the treatment table to keep you perfectly still. Towards the end of the treatment I couldn't swallow at all (not even water ) so I had to go into hospital to be tube fed for 2 weeks. They were going to give me a PEG which is a tube that goes directly into the stomach but I refused it and forced myself to eat even though it was really painful to swallow.

    I hope they manage to treat you with lasering alone but if you do have to go down the radiotherapy route, try not to worry as in a way I was relieved that I was getting rid of it once and for all. The weird thing is that my voice is now completely normal - just like it used to be years ago!

    On a positive note, if it is cancer then you know they have been monitoring you and it will be caught very early.

    I wish you all the very best and please let me know how your results go.

    Love Marion x

  • Sorry I got an error so thought my reply didn't work but I see it did!

  • Marion

    Many thanks for the reply. I will be getting my results next Wednesday and will let you know how I get on. My voice is slightly better today so I suppose it will still be quite swollen after the laser. It is heartening that your voice is normal after laser and Radiotherapy. I have had 4 biopsies in 18months and my voice, I guess, never gets time to recover.

    Thanks again,

    Chris

  • Hi Zaker.

    I have got throat cancer that started on my vocal cords 2 years ago, it is not the end of the world, I had 6 weeks of radio therapy, at the end a was very tired.

    I got my vioce back after a while, keep your pecker up you can only get better, dont worry it will make you bad.

    Good health.

    joeninty.