Symptoms of Head and Neck Cancer: What to Watch For - Oncology

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Head and neck cancer


Hello Doctor: Recently, my father (63 years old) has developed some lumps in his head and neck area.
I have researched some information about head and neck cancers online and would like to inquire whether the following symptoms are related to head and neck cancer: skin changes (redness, darkening, peeling), swelling in the neck or jaw, small lumps in the lips, mouth, or throat, persistent nasal congestion or nosebleeds, facial deformities (swelling, bleeding wounds), ear issues (fluid accumulation, fullness, pressure), lumps in the lips, mouth, or throat, and tooth loss.
Additionally, are there any other symptoms related to changes in appearance? Thank you for your response.

Ms. Chen, 30~39 year old female. Ask Date: 2015/12/20

Dr. Lai Yicheng reply Oncology


Ms.
Chen: I received your letter regarding your father's neck area having some lumps.

1.
I researched head and neck diseases online, and I found that the symptoms observed in clinical practice are often quite advanced.
It is advisable to visit an oncology specialist for early diagnosis and treatment as soon as possible.

2.
I am unsure whether the lump on your father's neck is located in the upper or lower neck.
Generally, we should consider whether the lump is an inflamed lymph node, a neck cyst, or a malignant tumor.

3.
Does your father have a history of betel nut chewing or smoking? I recommend that he visit the ENT department promptly.
Dr.
Hsu Chia-Fang, the head of our ENT department, is a very experienced expert in head and neck conditions.
If needed, I can assist with scheduling an appointment at Changhua Hospital.

Sincerely,
Director Lai Yi-Cheng

Reply Date: 2015/12/20

More Info


Understanding the symptoms of head and neck cancer is crucial for early detection and treatment. Your father's symptoms, including hard lumps in the head and neck region, warrant careful consideration. Here’s a comprehensive overview of the symptoms associated with head and neck cancers, along with additional information that may help you understand the condition better.


Common Symptoms of Head and Neck Cancer
1. Lumps or Masses: One of the most common signs is the presence of a lump or mass in the neck or throat. These lumps can be painless or painful and may vary in size. If your father has noticed hard lumps, it is essential to have them evaluated by a healthcare professional.

2. Persistent Sore Throat: A sore throat that does not go away can be a significant indicator of head and neck cancer. This may be accompanied by difficulty swallowing or a sensation of something being stuck in the throat.

3. Changes in Voice: Hoarseness or changes in voice that persist for more than a couple of weeks can be a symptom of laryngeal cancer or other cancers affecting the throat.

4. Nasal Symptoms: Persistent nasal congestion, frequent nosebleeds, or unusual nasal discharge can indicate nasal or paranasal sinus cancers. If your father has experienced ongoing nasal blockage or bleeding, this should be evaluated.

5. Facial Swelling or Changes: Any noticeable swelling or changes in the face, such as asymmetry or deformity, can be concerning. This includes swelling of the jaw or neck that may affect the appearance of the face.

6. Oral Changes: The development of sores or lumps in the mouth, lips, or throat, especially if they do not heal, can be a sign of oral cancer. Additionally, changes in the color or texture of the oral mucosa should be monitored.

7. Ear Symptoms: Symptoms such as ear pain, a feeling of fullness in the ear, or hearing loss can be associated with cancers of the head and neck, particularly those affecting the nasopharynx.

8. Dental Issues: Unexplained tooth loss or dental problems that arise without clear cause can also be linked to head and neck cancers.

9. Skin Changes: Changes in the skin over the head and neck, such as redness, darkening, or peeling, can indicate skin cancers or other malignancies in the area.


Additional Symptoms to Watch For
- Weight Loss: Unintentional weight loss can be a sign of many types of cancer, including those in the head and neck region.

- Difficulty Breathing: If there are any changes in breathing patterns, such as shortness of breath or wheezing, these should be addressed immediately.

- Persistent Cough: A cough that does not resolve, particularly if it produces blood, should be evaluated.

- Fatigue: Unexplained fatigue can be a systemic symptom of cancer.


Importance of Early Detection
Early detection of head and neck cancers significantly improves treatment outcomes. If your father is experiencing any of these symptoms, it is crucial to consult with an Ear, Nose, and Throat (ENT) specialist or an oncologist. They may recommend imaging studies, biopsies, or other diagnostic tests to determine the cause of the symptoms.


Conclusion
While the symptoms you described could be associated with head and neck cancer, they can also be related to benign conditions. Therefore, it is essential to seek professional medical advice for an accurate diagnosis. Encourage your father to undergo a thorough examination, as early intervention can lead to better management and treatment options. Remember, being proactive about health concerns is vital, especially when it comes to potential cancer symptoms.

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