Tonsil cancers

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What is tonsil cancer?

     Tonsil cancer is cancer that occurs in one of the three types of tonsils of the throat. It most commonly occurs in the palatine tonsils, which are located on either side of the throat, although it can also occur in the pharyngeal tonsils (also called adenoids), which are behind the nasal cavity, or in the lingual tonsils, which are at the back of the tongue.

  • The back third of your tongue
  • The soft area at the back of the roof of the mouth (the soft palate)
  • The tonsils and two ridges of tissue in front of and behind the tonsils
  • The back wall of your throat

     Most tonsil cancers are squamous cell carcinomas, which arise in the lining tissues of the mouth, although it is possible for lymphoma (a type of immune system cancer) to develop in the tonsils. Smoking is a common risk factor for squamous cell carcinomas of the tonsils as is alcohol: the combination of smoking and alcohol use yields an even greater risk than using either substance alone. As with most throat cancers it has been found that the human papilloma virus (HPV) virus, commonest cause being oral sex, is the single most causation.

     Symptoms of tonsil cancer include a sore at the back of the throat that does not heal, or one tonsil that is bigger than the other. It may or may not be painful. Tonsil cancer is known to cause bleeding, bad breath, or altered taste. Larger cancers can interfere with eating, talking or breathing, and may make it difficult to open the mouth. Lumps on the side of the neck have also been recorded.

  • How far your cancer has grown into local tissues
  • Whether it has spread to nearby lymph glands
  • Whether it has spread to any other part of the body – this is called staging the cancer. Your doctor will be able to tell you more about which treatment is best for you once your cancer has been staged.

     Radiation therapy or surgery can be effective in treating early tonsil cancer, and chemotherapy can be effective in treating more advanced tonsil cancer. Following surgery to remove cancerous tissue, reconstructive surgery can help restore structures that have been removed and rehabilitation can help you relearn how to eat, swallow or talk, if needed.

     Some complications of tonsil cancer can be serious. Seek immediate medical care (call 999) for serious symptoms, such as uncontrolled or heavy bleeding or respiratory or breathing problems, such as shortness of breath, difficulty breathing, laboured breathing, wheezing, not breathing, or choking. You have the best chance of curing tonsil cancer if you catch it early. Seek prompt medical care if you have bleeding in the throat, notice sores or lumps in the back of the throat, have difficulty eating, swallowing or speaking, or have any other symptoms that concern you. please note that with tonsil cancers, if treated early enough, there is every chance that the cancer will NOT spread thus causing loss of voice-box/larynx. This simple knowledge, above all else, should ensure that any worried persons should report to their doctor immediately for a full check up.