Q&A: treating larynx cancer with chemotherapy alone
Source: www2.mdanderson.org/cancerwise Author: Cancerwise Blogger In certain cases, cancer of the larynx (voicebox) can be treated successfully with chemotherapy alone, according to a recent study at M. D. Anderson. Chris Holsinger, M.D., assistant professor in the Department of Head and Neck Surgery, was co-author of the study, which is the first of its kind in the United States. He answers questions about this groundbreaking research that may provide hope for some patients. How has the treatment for larynx cancer evolved over the past few decades? Thirty years ago, the only option for cancer of the larynx, also called laryngeal cancer was surgical removal of part of the larynx. In the 1970s, treatment moved away from surgery and more toward radiation. Then we began to combine radiation and chemotherapy. What are some of the disadvantages of treating cancer of the larynx with radiation? Radiation can have side effects, especially long-term toxicity. In many patients, the cancer returns. Sometimes, radiation therapy saves the larynx and trachea (windpipe), but they do not work as well. This requires some patients to have a tracheotomy (a surgical procedure that makes an incision in the trachea to open a direct airway) or gastrostomy (surgical opening into the stomach). If patients who have radiation need surgery later, they often have more surgical complications and lower survival rates. What inspired you to look at treating larynx cancer with chemotherapy? While the treatment of larynx cancer was evolving in the United States, another story was unfolding in Paris. Two [...]