Oropharyngeal Cancer

Overview


The oropharynx is the back of the throat that includes the back of the tongue, the tonsils and the soft palate with uvula.



Causes

  • Smoking
  • Execessive alcohol consumption
  • There is association between Human Papilloma Virus (HPV) and oropharyngeal cancer with having previous multiple sexual partners and engaging in oral sex
Signs & Symptoms
  • A lump at the back of the throat
  • Difficulty or pain in swallowing
  • Neck lumps due to enlarged lymph glands


Detection & Treatment

Examination and Tests

Your doctor will perform a nasoendoscopy, where a fibreoptic camera is passed through your nose to obtain a view of the back of the tongue and throat.


Two types of investigations are required:

  • Biopsy of the oropharynx to determine the presence of cancer. This is usually done under general anaesthesia.
  • Scans to determine the spread of the disease. Commonly-performed scans include:
    • Magnetic Resonance Imaging (MRI) scan of the neck
    • Positron Emission Tomography (PET) scan of the whole body

Treatment

The treatment of oropharyngeal cancer depends on the stage of disease:

  • Early stage: Either surgery OR radiotherapy
  • Advanced stage: Surgery and chemoradiotherapy OR radiotherapy

Care Management



Additional Resources