How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 32018
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
41363181
Type Your Oncology Question Here...
Dr. David is online now
A new question is answered every 9 seconds

why cant a reaccuring cancer on a vocal cord not be

Resolved Question:

why cant a reaccuring cancer on a vocal cord not be removed with lazer surger in place of removing the whole voice box/
Submitted: 1 year ago.
Category: Oncology
Expert:  Dr. David replied 1 year ago.

Dr. David :

Hello, this is Dr. David. I have read your question and I'm ready to help.

Dr. David :

I am a radiation oncology cancer doctor

Dr. David :

I'm sorry that your voice box cancer has returned.

Dr. David :

that is unusual that the vocal cord cancer would return after aggressive twice a day radiation for 6 weeks.

Dr. David :

if they biopsied and it does show still active squamous cell carcinoma, then further radiation therapy is not possible.

Dr. David :

and laser surgery is not possible if the cancer is infiltrative through the voice box and vocal cords.

Dr. David :

laser surgery can only cut out polypoid or cancers with stalks and grow away from the vocal cord like a polyp.

Dr. David :

it sounds like this recurrence is infiltrative

Dr. David :

and if this is the case, then you have to have a laryngectomy to have the vocal cord removed to cure the vocal cord cancer.

Dr. David :

does this make sense?

Dr. David :

let me know if you have questions.

Customer:

If I choose not to have the voice box removed , estimate the time of survival and th e way I would die.

Dr. David :

that is hard to say.

Dr. David :

you could live for 1 or 2 or 3 or 4 years before the cancer grows and metastastizes and kills you.

Dr. David :

the vocal cord cancer could grow locally for many years and eat away at your vocal cords over the next few years and take away your voice and your swallowing first.

Dr. David :

your doctors have biopsied the area to confirm that the cancer is back correct?

Customer:

If I choose to not have the voice box removed what is the average life span from now. Alo how do you die?

Dr. David :

average life span could be 1-2 years.

Dr. David :

different patients die in different ways.

Dr. David :

they can die from malnutrition and dehydration from not eating and loosing weight.

Dr. David :

the cancer could spread to vital organs like the brain or lungs or liver and cause dysfunction there.

Dr. David :

do you have any other questions?

Customer:

IF A PERSON QUITS EATING OR DRINKNG , HOW LONG WOULD THEY SURVIVE/

Dr. David :

if you don't drink fluids, you can only survive a day or so.

Dr. David :

you can live several weeks without eating, but you will lose severe weight.

Customer:

fOR MOST PEOPLE , AFTER A VOICE BOX REMOV , HOW WOULD YOU RATE THEIR QUILITY OF LIFE ON A SCALE OF 1 T0 10 ?

Dr. David :

it can be tough to adjust to in the first year, but you get use to it.

Dr. David :

I just treated a patient who had her voice box removed in 2003 for a T4 laryngeal cancer.

Dr. David :

now she has breast cancer and we finished her treatments for that.

Dr. David :

she has a great quality of life and can plug up her tracheostomy and talk and be understood very well.

Dr. David :

she talks continuously. we can't shut her up sometimes. :)

Dr. David :

so you can have a good quality of life without your voice box.

Dr. David :

and there are ways of talking and vocalizing even after you have your voice box removed.

Customer:

aRE MOST PEOPLE SATISFIED THAT GO AHEAD WITH HAVING IT REMOVE.?

Dr. David :

yes, most patients are satisfied and happy they are cured

Customer:

how long is the recovery period and what is the toughest part?

Dr. David :

right after surgery is the toughest.

Dr. David :

but recovery is slow and steady and can vary from patient to patient.

Dr. David :

it can be a few months to fully recover

Dr. David :

but you can make it.

Dr. David :

I know you can do it.

Dr. David :

best of luck to you

Dr. David :

let me know if you have other questions.

if done for now, please click accept and leave positive feedback below the chat box so I can get credit for helping you today

you can always reach me with "a question for Dr. David" if you have any other questions

Thanks for using JustAnswers.com

Customer:

Thank you very much Wayne

Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 32018
Experience: Experienced Oncology Physician trained in New York City. I'm ready to help.
Dr. David and other Oncology Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. David

    Doctor (MD)

    Satisfied Customers:

    5742
    Experienced Oncology Physician trained in New York City. I'm ready to help.
< Last | Next >
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Doctor (MD)

    Satisfied Customers:

    5742
    Experienced Oncology Physician trained in New York City. I'm ready to help.
  • http://ww2.justanswer.com/uploads/LA/Laendo90020/2013-10-7_132943_Scan2mb.64x64.jpg Dr. Samurai's Avatar

    Dr. Samurai

    Physician

    Satisfied Customers:

    48
    I will provide help with all gastroenterological (GI) oncology questions.
  • /img/opt/shirt.png doconc's Avatar

    doconc

    Medical Oncologist

    Satisfied Customers:

    248
    I am a board-certified medical oncologist and specialize in adult oncology
  • /img/opt/shirt.png J's Avatar

    J

    Doctor (MD)

    Satisfied Customers:

    13
    Board Certified in Medical Oncology
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    45656
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14415
    MD
 
 
 
Chat Now With An Oncologist
Dr. David
Dr. David
Radiation Oncology Attending Director
6871 Satisfied Customers
Experienced Oncology Physician trained in New York City. I'm ready to help.