neck cancer

Head and neck cancer describes cancers that occur throughout the head or neck area, including the larynx (voice box), throat, mouth, salivary glands, lips, nasal cavity or sinuses.

Head and neck cancers typically begin in the squamous cells that line the moist, mucosal surfaces inside the mouth, nose and throat. These squamous cell cancers are known as squamous cell carcinomas of the head and neck. Head and neck cancers can also begin in the salivary glands, but salivary gland cancers are not very common.

What is head and neck cancer?

Head and neck cancer describes cancers that occur throughout the head or neck area, including the larynx (voice box), throat, mouth, salivary glands, lips, nasal cavity or sinuses.

Head and neck cancers typically begin in the squamous cells that line the moist, mucosal surfaces inside the mouth, nose and throat. These squamous cell cancers are known as squamous cell carcinomas of the head and neck. Head and neck cancers can also begin in the salivary glands, but salivary gland cancers are not very common.

 
 

Risk factors for head and neck cancer

Of the many risk factors for head and neck cancer, the two most prevalent are alcohol and tobacco use. These habits increase your chances of developing cancers of the oral cavity, oropharynx, hypopharynx, and larynx. In fact, about 75 percent of head and neck cancers are caused by alcohol and tobacco use (including smokeless tobacco and e-cigarettes).

Other risk factors are:

  • Human papillomavirus (HPV) infections ­– Infections of the cancer-causing HPV type 16 is a risk factor for oropharyngeal cancers, which impact the tonsils or the base of the tongue.
  • Eating preserved or salted foods – Consumption of certain types of preserved or salty foods, especially during childhood, is a risk factor for nasopharyngeal cancer (a rare type of head and neck cancer that starts in the upper part of the throat, behind the nose).
  • Ancestry – People with Asian ancestry, particularly Chinese ancestry, have an elevated risk for developing nasopharyngeal cancer.
  • Epstein-Barr virus infection – This virus is a risk factor for nasopharyngeal cancer and cancer of the salivary glands.
  • Poor oral hygiene – Tooth decay and missing teeth may be minor risk factors for cancers of the oral cavity.
  • Occupational exposure – Exposure to wood dust is a risk factor for nasopharyngeal cancer, while exposures to asbestos and synthetic fibers have been linked to cancer of the larynx. Industrial exposure to wood or nickel dust or formaldehyde is a risk factor for cancers of the paranasal sinuses and nasal cavity.
 
 

Detecting head and neck cancer

To diagnose cancers of the head and neck area, your doctor will begin by reviewing your ­ medical history and performing a physical examination. If you have specific symptoms, certain exams and tests may be ordered immediately. This is usually followed by an analysis of a sample of tissue under a microscope to confirm or rule out a diagnosis of cancer.

If cancer is present, your doctor will determine the stage (extent) of the disease. This may involve an exam under anesthesia, X-rays or other imaging procedures such as computed tomography (CT), ultrasonography or magnetic resonance imaging (MRI). Knowing the stage of head and neck cancer helps your oncologist plan the most effective treatment.

 

What are the symptoms of head and neck cancer?

The symptoms of head and neck cancers can feel common. That is to say, many are associated with other, less serious conditions. Be sure check with a doctor or dentist about any of the following signs:

  • A lump or a sore that does not heal
  • Chronic sore throat
  • Difficulty swallowing
  • A change or hoarseness in the voice

Other symptoms can signal more serious problems in the head and neck, including:

  • Oral abnormalities – Be alert to white or red patches on the gums, the tongue, or the lining of the mouth; along with swelling in the jaw, unusual bleeding or mouth pain.
  • Pharynx (throat) / larynx (voice box) problems – Consult your doctor if you’re having trouble breathing or speaking, pain when swallowing, persistent neck or throat pain, frequent headaches, pain or ringing in the ears, or trouble hearing.
  • Sinus and nasal issues – Take note of blocked sinuses that don’t clear, chronic sinus infections that don’t respond to antibiotics, nosebleeds, frequent headaches, swelling or other trouble with the eyes.
  • Salivary gland complications – Tell your doctor about swelling under the chin or around the jawbone, facial numbness or paralysis, and pain in the face, chin or neck that does not go away.