Our Summary

This research paper discusses a rare type of cancer called extramedullary plasmacytoma (EMP), which forms from abnormal growth of certain types of cells (plasma cells). This type of cancer is uncommon in the larynx, particularly in the false vocal cord. The paper describes a case where this rare cancer started in the false vocal cord of a patient’s larynx, but didn’t affect other parts of the body. The patient was treated through surgery to remove the tumor, followed by additional radiation therapy. After 8 months, the patient showed no signs of the cancer returning.

FAQs

  1. What is an extramedullary plasmacytoma (EMP)?
  2. What treatments are used for a larynx EMP that arises from the false cord?
  3. Is recurrence common after surgical resection and adjuvant radiotherapy for larynx EMP?

Doctor’s Tip

A helpful tip a doctor might tell a patient about vocal cord surgery is to follow all post-operative care instructions carefully, including resting the voice and avoiding activities that strain the vocal cords. It is also important to attend all follow-up appointments and communicate any changes or concerns with the doctor. Additionally, practicing good vocal hygiene, such as staying hydrated and avoiding irritants like smoking, can help promote healing and prevent complications.

Suitable For

Patients who are typically recommended vocal cord surgery include those with conditions such as vocal cord nodules, polyps, cysts, and tumors. In the case of extramedullary plasmacytoma in the larynx, surgical resection may be recommended to remove the tumor and prevent further spread. Adjuvant therapy such as radiotherapy may also be used to help prevent recurrence. It is important for patients to be evaluated by a specialist to determine the best course of treatment for their specific condition.

Timeline

Before vocal cord surgery:

  1. Patient may experience symptoms such as hoarseness, difficulty speaking or singing, and throat pain.
  2. Patient undergoes diagnostic tests such as laryngoscopy, imaging scans, and biopsy to confirm the presence of a tumor in the vocal cords.
  3. Patient discusses treatment options with their healthcare provider, including the possibility of vocal cord surgery.

After vocal cord surgery:

  1. Patient undergoes vocal cord surgery to remove the tumor in the false vocal cord.
  2. Patient may experience temporary changes in voice quality and may need speech therapy to regain vocal function.
  3. Patient receives adjuvant therapy such as radiotherapy to prevent recurrence of the tumor.
  4. Patient undergoes regular follow-up appointments to monitor their recovery and check for any signs of recurrence of the tumor.

What to Ask Your Doctor

  1. What type of vocal cord surgery do you recommend for my condition?
  2. What are the potential risks and complications associated with vocal cord surgery?
  3. How long is the recovery process after vocal cord surgery?
  4. Will I need any additional treatments, such as radiation or chemotherapy, after vocal cord surgery?
  5. What is the success rate of vocal cord surgery for my specific condition?
  6. How will vocal cord surgery affect my voice and ability to speak?
  7. What can I do to prepare for vocal cord surgery and optimize my recovery?
  8. How often will I need follow-up appointments after vocal cord surgery?
  9. Are there any alternative treatment options to consider for my condition?
  10. What can I expect in terms of long-term outcomes and prognosis after vocal cord surgery?

Reference

Authors: Lu G, Zhang Q. Journal: Ear Nose Throat J. 2022 Sep;101(8):NP348-NP350. doi: 10.1177/0145561320971929. Epub 2020 Nov 6. PMID: 33155846