Throat Cancer Treatment in Ahmedabad

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Throat Cancer in Ahmedabad

A sore throat that will not go away, difficulty swallowing, or a lump in the neck can be signs of throat cancer. Throat cancer is highly treatable, especially when it is found early, and modern treatment aims to cure the cancer while protecting your voice and ability to swallow. This page explains the types, symptoms and tests for throat cancer, and throat cancer treatment in Ahmedabad with Dr. Vishal Choksi, a fellowship-trained head and neck cancer surgeon who plans care with a full cancer team.

Difficulty swallowing or a neck lump for more than 3 weeks? See a throat cancer specialist: +91 97277 03693

 

Throat Cancer in Ahmedabad: Quick Facts

Question

Answer

What it is

Cancer of the pharynx – the nasopharynx, oropharynx (tonsils, base of tongue) or hypopharynx

Most common early signs

A sore throat, swallowing difficulty or neck lump lasting more than three weeks

Main causes

Tobacco and alcohol; HPV for tonsil and tongue-base cancers; EBV for nasopharyngeal cancer

Main treatments

Transoral surgery, open surgery, radiation and chemotherapy – often in combination

Can voice and swallowing be protected?

In most patients, yes – protecting them is part of every plan

Surgeon

Dr. Vishal Choksi – MSKCC-trained head and neck surgeon, Apollo Ahmedabad

 

What Is Throat Cancer?

Doctors use the word “pharynx” for the throat – the muscular tube that runs from behind the nose down to the top of the food pipe and windpipe. Throat cancer usually means cancer of the pharynx. It has three parts, and each behaves differently:

Part of the throat

Where it is

Common features

Nasopharynx

Behind the nose, above the soft palate

Often presents as a neck lump, blocked ear or nosebleeds; treated mainly with radiation and chemotherapy

Oropharynx

Tonsils, base (back third) of the tongue, soft palate, back wall of the throat

Linked to tobacco and increasingly to HPV; treated with radiation-based treatment or surgery depending on the case

Hypopharynx

Lower throat, beside and behind the voice box, above the food pipe

Often found late; causes swallowing difficulty; needs combined treatment

 

Throat cancer or voice box cancer? Many people use “throat cancer” for cancer of the voice box (larynx). The larynx is a separate organ with its own treatment, including laser surgery. If your cancer is in the vocal cords or voice box, read about voice box (laryngeal) cancer. Cancer of the front two-thirds of the tongue is an oral cancer, while cancer of the back third (base of tongue) is a throat cancer – both are explained on the tongue cancer page. Tumors behind the nose that grow upward are managed with the skull base team.

Symptoms of Throat Cancer

  • Sore throat or discomfort that lasts more than three weeks
  • Difficulty swallowing, or a feeling of food sticking
  • Pain when swallowing, sometimes spreading to one ear
  • A lump in the neck – often the first sign of tonsil, tongue base or nasopharyngeal cancer
  • Change in voice or a muffled “hot potato” voice
  • Blocked ear or hearing loss on one side (nasopharynx)
  • Nosebleeds or blocked nose on one side (nasopharynx)
  • Unexplained weight loss
  • Blood in saliva or phlegm
  • Bad breath that does not improve

Causes and Risk Factors

  • Smoking cigarettes and bidis, and chewing tobacco
  • Alcohol, especially with tobacco
  • Human papillomavirus (HPV), particularly for tonsil and base of tongue cancer
  • Epstein–Barr virus (EBV), for nasopharyngeal cancer
  • Poor nutrition and low intake of fruit and vegetables

HPV-related throat cancers tend to occur in younger people who may not smoke, and they generally respond better to treatment.

When to See a Throat Cancer Specialist in Ahmedabad

Throat cancer symptoms are easily mistaken for an infection, acidity or a “tonsil problem”. A specialist examination is advised if:

  • A sore throat, ear pain or swallowing difficulty has lasted more than three weeks despite treatment
  • You have a lump in the neck that has not gone away in three weeks, even if it is painless
  • Your voice has changed, or you are coughing or spitting blood
  • You have been given antibiotics more than once without full recovery
  • You smoke or chew tobacco and have any of the symptoms above

What happens at the first visit

The specialist examines your mouth, neck and ears, then looks at the throat and voice box with a thin flexible endoscope passed through the nose after a local anaesthetic spray. The examination takes a few minutes. If anything suspicious is seen, a biopsy and scans are arranged, usually within days. Bring previous reports, scans and a list of medicines you have taken.

How Throat Cancer Is Diagnosed

  1. Endoscopy in the clinic: a thin flexible camera passed through the nose shows the throat and voice box within minutes, with local anaesthetic spray.
  2. Biopsy: tissue is taken from the tumor, sometimes under general anaesthesia (panendoscopy) so the whole throat, voice box and food pipe can be checked.
  3. Fine-needle aspiration of a neck lump.
  4. HPV (p16) testing of oropharyngeal cancers, which changes staging and prognosis.
  5. Imaging: CT or MRI of the neck, and PET-CT for advanced disease.
  6. Swallowing and nutrition assessment before treatment begins.

Stages of Throat Cancer

Throat cancers are staged with the AJCC 8th edition TNM system. HPV-positive oropharyngeal cancers are staged separately because they have a better outlook. In simple terms, stages I–II are smaller cancers without significant lymph node spread, and stages III–IV are larger cancers or those with more lymph node involvement or distant spread.

Throat Cancer Treatment Options

Treatment is decided by a multidisciplinary team, because for many throat cancers both surgery and radiation-based treatment can cure the disease, and the choice depends on which offers the best function afterwards.

Transoral surgery

Selected early cancers of the tonsil, base of tongue and throat wall can be removed through the open mouth without cutting the face or neck, using laser or other transoral techniques. This is often combined with a neck dissection through a small neck incision.

Open surgery

Larger cancers, or cancers that return after radiation, may need open surgery – for example, partial pharyngectomy, or laryngopharyngectomy for advanced hypopharyngeal cancer – with free flap reconstruction to rebuild the throat.

Neck dissection

Removal of neck lymph nodes is performed when nodes are involved or at risk, either as part of the main operation or after radiation if a node does not fully respond.

Radiation therapy with or without chemotherapy

Radiation is the main treatment for nasopharyngeal cancer and for many oropharyngeal and hypopharyngeal cancers, often with chemotherapy given on the same days. It is also given after surgery when there are high-risk features. Discuss the roles of radiation and medical oncologists.

Immunotherapy and targeted therapy

Used for cancers that come back or spread, based on specific tests of the tumor.

How to Choose the Best Throat Cancer Surgeon in Ahmedabad

Because treatment choices are finely balanced, the right surgeon for you is one who works within a tumor board and explains every option honestly – including when radiation is the better first choice. Look for:

  • Fellowship training in head and neck surgical oncology
  • Experience with transoral surgery, neck dissection and pharyngeal reconstruction
  • A hospital with radiation oncology, medical oncology and swallowing therapy
  • Clear discussion of the effect of each option on voice and swallowing

Why Choose Dr. Vishal Choksi as Your Throat Cancer Doctor in Ahmedabad

  • Head and neck surgery fellowship at Memorial Sloan Kettering Cancer Center, New York
  • Trained in endoscopic laser surgery at the European Institute of Oncology, Milan
  • Lead Consultant, Head and Neck Cancer Surgery Services, Apollo Ahmedabad
  • Every complex case planned with radiation and medical oncology colleagues
  • More than 20 years of experience limited to head and neck tumors

Read more about Dr. Vishal Choksi.

Recovery and Rehabilitation

After transoral surgery, most patients go home in a few days and return to a soft diet within one to two weeks. After radiation, swallowing may be difficult for several weeks; exercises taught before treatment starts help protect long-term swallowing. Follow-up includes endoscopy every few months for the first two years. Read about life after treatment.

Frequently Asked Questions About Throat Cancer

What are the early signs of throat cancer?

A sore throat, difficulty swallowing, ear pain on one side, a change in voice, or a neck lump lasting more than three weeks. A painless neck lump is often the first sign.

Is throat cancer curable?

Yes. Many throat cancers are curable, particularly early-stage and HPV-related oropharyngeal cancers, which respond very well to treatment.

Is throat cancer the same as voice box cancer?

Not exactly. Throat cancer usually refers to the pharynx, while voice box cancer affects the larynx. They are close together but are treated differently.

Will I need surgery or radiation for throat cancer?

It depends on the location, stage and your overall health. For many throat cancers both can cure the disease, and the team chooses the one likely to leave the best swallowing and voice.

What is transoral surgery?

It is surgery performed through the open mouth to remove selected throat cancers, avoiding cuts on the face and jaw and often allowing faster recovery.

Does HPV cause throat cancer?

Some types of HPV cause cancers of the tonsil and base of tongue. HPV-related cancers generally have a better outlook than tobacco-related cancers.

Can I eat normally after throat cancer treatment?

Most patients return to eating by mouth. Swallowing therapy before, during and after treatment improves the chances of normal eating.

How is throat cancer detected?

A specialist examines the throat with a flexible endoscope in the clinic, then confirms the diagnosis with a biopsy and scans.

How long does throat cancer treatment take?

Surgery recovery takes a few weeks. A course of radiation usually lasts about six to seven weeks, with recovery continuing for some weeks afterwards.

How do I consult a throat cancer doctor in Ahmedabad?

Call +91 97277 03693 or +91 79 2646 8666, or send your reports on WhatsApp for review.

Sources

Author & Medical Review

Dr. Vishal Choksi, MBBS, Diplomate American Board of Surgery, AHNS Fellow. Medically reviewed by Dr. Vishal Choksi.