Treatments for hypopharyngeal cancer
If you have hypopharyngeal cancer, your healthcare team will create a treatment plan just for you. It will be based on your health and specific information about the cancer. When deciding which treatments to offer for hypopharyngeal cancer, your healthcare team will consider:
- the stage of the cancer
- the best way to maintain swallowing, talking and breathing
- your overall health
- what you prefer or want
You may be offered one or more of the following treatments for hypopharyngeal cancer.
Surgery may be used as the main treatment to remove the tumour and any tissues that the cancer has spread to. Depending on the stage and size of the tumour, you may have one of the following types of surgery.
- Laryngopharyngectomy removes part or all of the larynx (voice box), part or all of the pharynx (throat) and sometimes part of the esophagus.
- Neck dissection removes lymph nodes in the neck (cervical lymph nodes).
- Gastrostomy places a feeding tube into the stomach to help with nutrition.
- Tracheostomy places a tube into the trachea (windpipe) to help with breathing.
- Reconstructive surgery repairs areas affected by cancer or its treatment and helps to maintain the look and function of the mouth and neck as much as possible.
Radiation therapy may be used as the main treatment for hypopharyngeal cancer. It may be given alone or with chemotherapy as part of chemoradiation. External beam radiation therapy is the type of radiation therapy used for hypopharyngeal cancer. A machine directs radiation through the skin to the tumour and some of the tissue around it. Radiation is given to the tumour and the lymph nodes in the neck.
Chemoradiation combines radiation therapy with chemotherapy. The 2 treatments are given during the same time period. The chemotherapy makes the radiation more effective.
Chemotherapy is usually given with radiation therapy (called chemoradiation) as a main treatment for hypopharyngeal cancer. Chemotherapy may be used alone before other treatments or combined with targeted therapy for cancer that has come back (recurred) or spread (metastasized) to distant sites.
Targeted therapy uses drugs to target specific molecules (such as proteins) on cancer cells or inside them. It is sometimes given in combination with chemotherapy drugs for cancer that has come back or spread to distant sites.
Immunotherapy helps to strengthen or restore the immune system’s ability to fight cancer. An immunotherapy drug may be given if hypopharyngeal cancer comes back or spreads and has stopped responding to chemotherapy drugs such as cisplatin or carboplatin.
If you can’t have or don’t want cancer treatment
You may want to consider a type of care to make you feel better without treating the cancer itself. This may be because the cancer treatments don’t work anymore, they’re not likely to improve your condition or they may cause side effects that are hard to cope with. There may also be other reasons why you can’t have or don’t want cancer treatment.
Talk to your healthcare team. They can help you choose care and treatment for advanced cancer.
Follow-up after treatment is an important part of cancer care. You will need to have regular follow-up visits, especially in the first 3 years after treatment has finished. These visits allow your healthcare team to monitor your progress and recovery from treatment.
Talk to your doctor about clinical trials open to people with hypopharyngeal cancer in Canada. Clinical trials look at new ways to prevent, find and treat cancer. Find out more about clinical trials.
Questions to ask about treatment
To make the decisions that are right for you, ask your healthcare team questions about treatment.