Tonsil Cancer

Tonsil Cancer

  • Tonsil Cancer

    Tonsil tumours tend to affect younger patients. The incidence of the disease is increasing rapidly in the Czech Republic, and it is now 3 times higher than 30 years ago. This increase is directly related to the spread of human papillomavirus HPV 16, the presence of which has been confirmed in many patients in recent years*.

    The most common symptoms that bring a patient to the doctor’s office are:

    • pain in the neck and ears,
    • foreign body feeling,
    • painful swallowing,
    • difficulty swallowing,
    • bad breath,
    • bleeding from the oral cavity,
    • swelling in the neck.

    The treatment of malignant tumours of the head and neck area, including the tonsils, must be comprehensive and requires a team of doctors. It is governed by the location of the primary tumour, histology, the extent of the disease, and the general condition of the patient.
    The main treatment modalities for tonsil tumours are surgery and radiotherapy. In early stages, surgery or radiotherapy are indicated as separate treatment modalities. Advanced stages usually require combined treatment (surgery, radiotherapy, chemotherapy).

    *Human papillomavirus is common in the human population, but only a small group of infected people develop cancer. More than 150 different subtypes are known, but HPV16 is particularly high-risk. A surprising characteristic of HPV positive disease is large nodules, with a relatively small finding of a primary tumour, these patients are often in a clinically advanced state of the disease at the time of diagnosis.
    HPV-positive head and neck tumours have a better prognosis compared to HPV-negative tumours and respond better to chemotherapy and radiotherapy. The risk of death is reduced by 60-80% in HPV positive tumours compared to HPV negative tumours
  • Proton Radiotherapy for Tonsil Tumors

    The objective of modern oncological treatment is to ensure patients the maximum chance of recovery while minimising adverse effects related to the treatment. Today, this goal can be achieved with proton therapy. Proton therapy is gentler because it can reduce the exposure of surrounding tissues and organs to unwanted radiation and thus limit the risk of treatment-related complications.

    Proton therapy is exceptional, in particular, because it demonstrably reduces the risk of side effects associated with other types of treatment while also rendering excellent treatment results. It is very beneficial, e.g., for the treatment of tonsil tumours, where it enables delivery of the dose necessary for tumour destruction.

    Proton therapy:

    • reduces the risk of swallowing difficulties and maintains the ability to swallow,
    • significantly reduces unwanted exposure of the spinal cord by up to 80% and prevents the development of myelopathy,
    • reduces radiation doses to the salivary glands, so the patient does not lose saliva,
    • reduces radiation doses to the teeth and jaws and reduces the risk of increased tooth decay,
    • significantly reduces unwanted radiation to other tissues in the oral cavity (cheeks, tongue) and reduces the risk of inflammation, ulcers, fistula or secondary tumours.