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.

Parents
  • 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 all,

    I noticed my voice changing about 8mths ago. Finally got it checked to find a cyst on left vocal also enlarged tonsils. Specialist advised to remove tonsils anyway as always problematic and at same time would check cyst condition. He removed tonsils and now the polyp. Polyp revealed dysplasia and advised close monitoring. Going back in a few months. Questions I have... did you feel twinges/burning sensation in upper side of neck if talked a bit too much? Radiotherapy - is that only advised if it turns to cancer? And i dont think I had laser ... think he used an older method (forgot to ask). Are you following any strict diets or major lifestyle changes ? I have 3 young children ... thanks !! Quite worried as think I need to make some adjustments...

Reply
  • Hi all,

    I noticed my voice changing about 8mths ago. Finally got it checked to find a cyst on left vocal also enlarged tonsils. Specialist advised to remove tonsils anyway as always problematic and at same time would check cyst condition. He removed tonsils and now the polyp. Polyp revealed dysplasia and advised close monitoring. Going back in a few months. Questions I have... did you feel twinges/burning sensation in upper side of neck if talked a bit too much? Radiotherapy - is that only advised if it turns to cancer? And i dont think I had laser ... think he used an older method (forgot to ask). Are you following any strict diets or major lifestyle changes ? I have 3 young children ... thanks !! Quite worried as think I need to make some adjustments...

Children
  • Hi Mina Sorry to hear you've had to have an op. To answer a few of your questions I never had a burning sensation when talking but my voice never went back to normal after my operations (7 in total) over 2 years. If your voice is good that is a good sign. I had the radiotherapy after my condition worsened and it was the only option. It isn't something you'd get without other options being pursued. I have to take prescription antacids now to prevent agrevation and I avoid spirits (most of the time !!) Try not to panic as it's not always it gets worse and can dissappear as soon as it came. Good luck and let us know how you get on. Chris
  • Hi Mina, I was diagnosed with severe dysplasia 3 years ago. I am a non smoker so it was a bit of shock! The dysplasia was quite marked and it was cold steel removed. At the time the consultant was quite concerned as it was so large and I was told there was quite a high likely hood of dysplasia return. After the procedure my throat was sore for quite some time and my voice took a few months to really get back to normal. Over the coming couple of years if I drank alcohol on a normal night out or had a cold my voice would often become quite hoarse which used to concern me that the dysplasia was returning. Luckily it has never returned. For the first two years I was checked every 3 months, then every 6 months and now once a year. The doctor actually offered to discharge me after the 3 year point as nothing had happened but I'm happy to have a yearly check until the 5 year mark. As I understand it dysplasia can be mild, medium or severe. Mild will not normally be monitored and medium only if you are high risk (smoker, heavy drinker). Severe has between a 10-40% change of progression into cancer. The higher percentage is if you are a heavy smoker or drinker. Ive always been told I had about a 10% chance. Radiotherapy is a one chance option so will only be used if all other avenues have been tried such as laser, cold steel, etc. When I was first diagnosed I was extremely stressed and worried about it but just to put you at ease you will be monitored and any sign of return or progression will be dealt with. It's an extremely treatable issue. Dysplasia does not normally progress from the lower stages and even severe you have a very good chance. If you do find you have an early stage cancer it has a 98% cure rate which lets be honest is not bad! At first I used to drink alot of water and take vitamins but I don't any more. I also read about a research treatment program run by a team of doctors in Finland or somewhere in Scandinavia I think that had tried prescribing daily doses of folic acid to patients with severe dysphasia which had show some signs of possible success. I spoke to my consultant at Charring X hospital about this who said he was aware of it but as it had never really gone any further was unsure if it had proven correct. I asked if he would have a problem with me trying it which he said no so I just bought myself folic acid and took it daily for two years. I'm not a doctor nor can I say if it made any difference as I'm a research group of 1 but the dyspalsia has no returned. That could be as much to do with luck and my own case as anything else but you did ask if anyone had tried vitamins.

    Good luck with it all, I'm sure you're in good hands and will be closely monitored. its not great to get any kind of diagnosis which doesn't give you clean bill of health but as a doctor friend said to me at the time you've been caught before it could progress, you're monitored so any change will be acted upon immediately and it's very treatable. You don't have cancer you have severe dyspliasia which means the cells have become atypical but not yet an invasive cancer. I know I might be sounding all calm now but at the beginning I won't lie to you I as very worried about it all but try to stay positive and as many others have found in similar situations you will be fine and any problems if they arise will be detected.

    I'm not one of these people to say this was a positive thing as no one wants anything other than to be full health but for me but I did used to have issues with health aniexty and one of the plus sid effects  is that I've had to learn to control that aniexty thorough this experience. 

    Good luck with it all and as I found just speak to your doctor at your check ups if you have concerns and try to stay away from Google!

     

    Thanks

  • Hi all,

    Thank you so much for replying.  

    Can I ask where you all got your treatment?

    And did anyone have an endo to check upper aerodigestive tract as I am having reflux most evenings for the past month or so...it could be lack of exercise...

    My dad had Hodgkins which started in the neck in his 30's and passed away 10 years ago. I have hypothyriodism so am always paranoid. I know these are not directly linked to Lymphoma...

    I need to regain some strength mentally and physically to restart yoga and increase the amount of colourful fruits (i'm more into vegetables) as fear I will become more sad and spiral downwards...

    I will try the folic acid !

    Take care all

     

  • Hi,

     

    As a non smoker but diagnosed with severe dysplasia I took an acid reflux test. I had tube placed into my nostril and down into my upper stomach for 24hrs. It was an extrememly uncomfortable and unejoyable experience and it came back as negative. I always thought of myself as some one that sufferned from reflux but it turns out I was wrong or at least on the day of the test!

    Try not to worry too much about it, I'm three years past my inital diagnois and it has never retunred so progression is by no means a certainty, in fact for most with dysplasia it does not progress. If you are a smoker or heavy drinker my only advice would be to stop smoking and cut back on the alcohol.

    I was treated under the NHS at Charring X hospital.

     

    Thanks

     

  • I'm a 61 year old male who has been told I have a white scarring on my voice box and am waiting for a biopsy i am very worried if it is cancer what aremy Chances?