Hypopharyngeal cancer natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
Overview
If left untreated, hypopharyngeal cancer produces few symptoms early in the course. Once the tumor has expanded from its site of origin, it may obstruct the aerodigestive tract. Common complications of hypopharyngeal cancer include airway obstruction and disfigurement of the neck or face. The prognosis varies with the type of hypopharyngeal cancer. Squamous cell carcinoma of hypopharynx has the most unfavorable prognosis.
Natural History, Complications and Prognosis
Natural History
- If left untreated, hypopharyngeal cancer produces few symptoms early in the course.
- Once the tumor has expanded from its site of origin, it may obstruct the aerodigestive passages.
Complications
Common complications of hypopharyngeal cancer include:
- Airway obstruction
- Disfigurement of the neck or face
- Hoarseness and speaking difficulties
- Metastasis
Prognosis
The prognosis varies with the type of hypopharyngeal cancer. The prognosis also depends on the age, tumor location, and the stage. Squamous cell carcinoma of hypopharynx has the most unfavorable prognosis.[1] Based on staging, the 5-year survival rate of hypopharyngeal cancer is as follows:
- Stage I-II has a 47% 5-year survival rate
- Stage III-IVb has a 30% 5-year survival rate
- Stage IVc has a 16% 5-year survival rate
References
- ↑ Treatment and prognosis. Dr Aditya Shetty and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/hypopharyngeal-squamous-cell-carcinoma