If hoarseness does not heal for a long time, you should be alert to the occurrence of laryngeal cancer

The patient, Li Yi, male, 50 years old, was admitted to the hospital for examination in July 2011 due to hoarseness and was diagnosed with laryngeal cancer.

Li Yi has been farming at home all year round. After the Spring Festival, he developed hoarseness without obvious cause and occasional sore throat, but no other symptoms. At first, he thought it was caused by drinking too much and eating too much greasy food during the Spring Festival, so he did not take it seriously and did not take any measures.

Until July, Li Yi's above symptoms persisted, so he went to the hospital for examination to clarify his condition. Physical examination: T36.4℃, P68 times/min, R17 times/min, BP126/76mmhg. Specialty situation: regular facial features, no congestion of pharyngeal mucosa, scattered lymphoid follicles on the posterior pharyngeal wall, no swelling of bilateral tonsils, mild congestion of laryngeal mucosa, new growth on the right vocal cord, laryngeal ventricle, and anterior commissure, the surface is not smooth, cauliflower-shaped, the left vocal cord is smooth, and no new growth is seen. Auxiliary examination: laryngoscopy showed laryngeal cancer.

So he was admitted to the hospital for a thorough examination. Under local anesthesia fiberoptic laryngoscope, a small amount of tissue from the neoplasm was taken for biopsy. Pathological examination showed that the small tissue sent for examination (larynx) was chronic inflammation with moderate atypical proliferation of squamous epithelium. To further clarify the nature of the lesion, a few days later, under general anesthesia and supported laryngoscope, the laryngeal neoplasm was removed and sent for pathological examination. Pathological examination showed that (right vocal cord) was well-differentiated squamous cell carcinoma.

After the diagnosis was confirmed, the patient underwent right vertical hemilaryngectomy under general anesthesia about two weeks later. After the operation, he was given anti-inflammatory, hemostatic, anti-edema, antacid, nutritional support, and symptomatic treatment. He was discharged from the hospital half a month later and recovered well.