Follow-up after treatment for hypopharyngeal cancer
Follow-up after treatment is an important part of cancer care. Follow-up for hypopharyngeal cancer is often shared among the cancer specialists (radiation oncologist, medical oncologist and head and neck surgeon) and your family doctor. Your healthcare team for follow-up care may also include a speech therapist and a dentist. Your healthcare team will work with you to decide on follow-up care to meet your needs.
Don’t wait until your next scheduled appointment to report any new symptoms and symptoms that don’t go away. Tell your healthcare team if you have:
- difficulty or pain when swallowing
- a sore throat that doesn’t go away
- a feeling that something is stuck in your throat
- ear pain
- a constant cough
- coughing up bloody mucus
- a lump in your neck
The chance that hypopharyngeal cancer will come back (recur) is greatest within 2 to 3 years, so you will need close follow-up during this time. Smoking and drinking alcohol heavily after treatment can increase your risk of hypopharyngeal cancer coming back or developing a second primary cancer.
Schedule for follow-up visits @(Model.HeadingTag)>
Follow-up visits for hypopharyngeal cancer are usually scheduled:
- every 1 to 2 months for the first year after initial treatment
- every 2 months for the second year
- every 3 to 4 months for the third year
- every 6 months after that
During follow-up visits @(Model.HeadingTag)>
During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping.
Your doctor may do a physical exam, including checking for:
- swollen lymph nodes in the neck
- difficulty speaking or swallowing
- good mouth care
- changes to your voice
Tests are often part of follow-up care. You may have:
- imaging tests such as CT, MRI or PET-CT scans to check if the cancer has spread
- blood tests to check thyroid function once or twice a year
- speech and swallowing tests to check your rehabilitation
- dental exams to check for cavities
- a chest x-ray to check if the cancer has spread to the lungs
- a panendoscopy to look at the original tumour site and other areas in the throat and to biopsy any abnormal areas
If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
American Cancer Society. Laryngeal and Hypopharyngeal Cancers. 2014: https://www.cancer.org/cancer/laryngeal-and-hypopharyngeal-cancer.html.
American Society of Clinical Oncology. Laryngeal and Hypolaryngeal Cancer. 2016: http://www.cancer.net/cancer-types/laryngeal-and-hypopharyngeal-cancer/view-all.
Hamoir M, Machiels JP, Schmitz S, Gregoire V . Multidisciplinary management of hypopharyngeal carcinoma. Bernier J (ed.). Head and Neck Cancer: Multimodality Management. Springer; 2016: 28: 511-537.
Harry Quon. Hypopharyngeal Cancer. 2017: http://emedicine.medscape.com/article/1375268-overview#showall.
National Cancer Institute. Hypopharyngeal Cancer Treatment (PDQ®) Health Professional Version. 2016: https://www.cancer.gov/types/head-and-neck/hp/hypopharyngeal-treatment-pdq.