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Steven M Dawson, MD
12333 NE 130th Ln Ste 440Kirkland, WA 98034-3039425-899-3838
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Head and Neck Cancer

Dr. Steven M Dawson and his staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. For a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact my office to answer any questions or concerns.

Insight into recognizing symptoms for early detection

  • Early detection of head and neck cancer
  • Symptoms of head and neck cancer
  • and more...

More than 55,000 Americans will develop cancer of the head and neck (most of which is preventable) this year; nearly 13,000 of them will die from it.

Early detection of head and neck cancer

Tobacco use is the most preventable cause of these deaths. In the United States, up to 200,000 people die each year from smoking-related illnesses. The good news is that this figure has decreased due to the increasing number of Americans who have quit smoking. The bad news is that some of these smokers switched to smokeless or spit tobacco, assuming it is a safe alternative. This is untrue. By doing this, they are only changing the site of the cancer risk from their lungs to their mouth. While lung cancer cases are down, cancers in the head and neck appear to be increasing. Cancer of the head and neck is curable if caught early. Fortunately, most head and neck cancers produce early symptoms. You should know the potential warning signs so you can alert your doctor as soon as possible. Remember-successful treatment of head and neck cancer depends on early detection. Knowing and recognizing the signs of head and neck cancer can save your life.

Symptoms of head and neck cancer

A lump in the neck ...Cancers that begin in the head or neck usually spread to lymph nodes in the neck before they spread elsewhere. A lump in the neck that lasts more than two weeks should be seen by a physician as soon as possible. Of course, not all lumps are cancer. But a lump (or lumps) in the neck can be the first sign of cancer of the mouth, throat, voicebox (larynx), thyroid gland, or of certain lymphomas and blood cancers. Such lumps are generally painless and continue to enlarge steadily.

Change in the voice ...Most cancers in the larynx cause some changes in voice. An otolaryngologist is a head and neck specialist who can examine your vocal cords easily and painlessly. While most voice changes are not caused by cancer, you shouldn't take chances. If you are hoarse or notice voice changes for more than two weeks, see your doctor.

A growth in the mouth ...Most cancers of the mouth or tongue cause a sore or swelling that doesn't go away. These sores and swellings may be painless unless they become infected. Bleeding may occur, but often not until late in the disease. If an ulcer or swelling is accompanied by lumps in the neck, be concerned. Your dentist or doctor can determine if a biopsy (tissue sample test) is needed and can refer you to a head and neck surgeon who can perform this procedure.

Bringing up blood ...This is often caused by something other than cancer. However, tumors in the nose, mouth, throat, or lungs can cause bleeding. If blood appears in your saliva or phlegm for more than a few days, you should see your physician.

Swallowing problems ...Cancer of the throat or esophagus (swallowing tube) may make swallowing solid foods difficult. Sometimes liquids can also be troublesome. The food may "stick" at a certain point and then either go through to the stomach or come back up. If you have trouble almost every time you try to swallow something, you should be examined by a physician. Usually a barium swallow x-ray or an esophagoscopy (direct examination of the swallowing tube with a scope) will be performed to find the cause.

Changes in the skin ...The most common head and neck cancer is basal cell cancer of the skin. Fortunately, this is rarely serious if treated early. Basal cell cancers appear most often on sun-exposed areas like the forehead, face, and ears, but can occur almost anywhere on the skin. Basal cell cancer often begins as a small, pale patch that enlarges slowly, producing a central "dimple" and eventually an ulcer. Parts of the ulcer may heal, but the major portion remains ulcerated. Some basal cell cancers show color changes. Other kinds of cancer, including squamous cell cancer and malignant melanoma, also occur on the head and neck. Most squamous cell cancers occur on the lower lip and ear. They may look like basal cell cancers and, if caught early and properly treated, usually are not dangerous. If there is a sore on the lip, lower face, or ear that does not heal, consult a physician. Malignant melanoma classically produces dense blue-black or black discolorations of the skin. However, any mole that changes size, color, or begins to bleed may mean trouble. A black or blue-black spot on the face or neck, particularly if it changes size or shape, should be seen as soon as possible by a dermatologist or other physician.

Persistent earache ...Constant pain in or around the ear when you swallow can be a sign of infection or tumor growth in the throat. This is particularly serious if it is associated with difficulty in swallowing, hoarseness or a lump in the neck. These symptoms should be evaluated by an otolaryngologist.

Identifying high risk of head and neck cancer

As many as 90 percent of head and neck cancers arise after prolonged exposure to specific factors. Use of tobacco (cigarettes, cigars, chewing tobacco, or snuff) and alcoholic beverages are closely linked with cancers of the mouth, throat, voice box, and tongue. In adults who do not smoke or drink, cancer of the mouth and throat is nearly nonexistent. Prolonged exposure to sunlight is linked with cancer of the lip and is also established as a major cause of skin cancer.

What you should do ...All of the symptoms and signs described here can occur with no cancer present. In fact, many times complaints of this type are due to some other condition. But you can't tell without an examination. So, if they do occur, see your doctor to be sure.

Remember: When found early, most cancers in the head and neck can be cured with little difficulty. Cure rates for these cancers could be greatly improved if people would seek medical advice as soon as possible. Play it safe. If you detect warning signs of head and neck cancer, see your doctor immediately.

Be safe: See your doctor early and practice health habits which help prevent these diseases.


Learn More

  • Sinusitis
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  • Snoring/Sleep Apnea

Patient Education

Patient Education
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    • Cholesteatoma
    • Cochlear Implants
    • Ear Plastic Surgery
    • Ear Tubes
    • Earaches
    • Ears and Altitude
    • Earwax
    • Quick Glossary for Good Ear Health
    • Autoimmune Inner Ear Disease
    • Better Ear Health
    • Buying a Hearing Aid
    • Child Screening
    • Chronic Otitis Media
    • Cochlear-Meningitis Vaccination
    • Day Care and Ear, Nose, and Throat Problems
    • Ear Infection and Vaccines
    • Your Genes and Hearing Loss
    • How the Ear Works
    • Hyperacusis
    • Know the Power of Sound
    • Noise-Induced Hearing Loss In Children
    • Pediatric Obesity
    • What You Should Know About Otosclerosis
    • When Your Child Has Tinnitus
    • Why Do Children Have Earaches?
    • Infant Hearing Loss
    • Noise and Hearing Protection
    • Perforated Eardrum
    • Swimmer's Ear
    • Tinnitus
    • Travel Tips for the Hearing Impaired
  • Throat
    • About Your Voice
    • Common Problems That Can Affect Your Voice
    • Day Care and Ear, Nose, and Throat
    • Can the Medications I Take Harm My Voice
    • Gastroesphageal Reflux (GERD)
    • How Allergies Affect your Child's Ears, Nose, and Throat
    • Keeping Your Voice Healthy
    • Laryngeal (Voice Box) Cancer
    • Laryngopharyngeal Reflux and Children
    • Nodules, Polyps, and Cysts
    • Pediatric GERD
    • Pediatric Obesity and Ear, Nose, and Throat Disorders
    • Special Care for Occupational and Professional Voice Users
    • Tips for Healthy Voices
    • Tonsillectomy Procedures
    • Tonsillitis
    • Tonsils and Adenoids PostOp
    • Vocal Cord Paralysis
    • GERD and LPR
    • Hoarseness
    • How the Voice Works
    • Secondhand Smoke
    • Sore Throats
    • Swallowing Disorders
    • Tonsils and Adenoids
    • Diet and Exercise Tips
  • Nose and Mouth
    • Allergies and Hay Fever
    • Antihistamines, Decongestants, and "Cold" Remedies
    • Continuous Positive Airway Pressure (CPAP)
    • Facial Sports Injuries
    • 20 Questions about Your Sinuses
    • Allergic Rhinitis (Hay Fever)
    • Allergic Rhinitis, Sinusitis, and Rhinosinusitis
    • Antibiotics and Sinusitis
    • Are We Through With Chew Yet?
    • Cleft Lip and Cleft Palate
    • Could My Child Have Sleep Apnea?
    • Day Care and Ear, Nose, and Throat Problems
    • Deviated Septum
    • Do I Have Sinusitis?
    • How Allergies Affect your Child's Ears, Nose, and Throat
    • Sinus Infection
    • Injection Snoreplasty
    • Pediatric Obesity
    • Sinus Headaches
    • Sinus Pain
    • Sinus Surgery
    • Sinusitis: Special Considerations for Aging Patients
    • Tips for Sinus Sufferers
    • Tongue-tie (Ankyloglossia)
    • Your Nose: The Guardian Of Your Lungs
    • Fungal Sinusitis
    • Laser Assisted Uvula Palatoplasty (LAUP)
    • Mouth Sores
    • Nasal Fractures
    • Nose Surgery
    • Nosebleeds
    • Post-Nasal Drip
    • Salivary Glands
    • Secondhand Smoke
    • Sinusitis
    • Smell and Taste
    • Smokeless Tobacco
    • Snoring Sleep Apnea
    • Snoring
    • Stuffy Noses
    • TMJ Pain
    • Tonsils and Adenoids
  • Head and Neck
    • Bell's Palsy
    • Children and Facial Paralysis
    • Dizziness and Motion Sickness
    • Facial Plastic Surgery
    • Facial Sports Injuries
    • Children and Facial Trauma
    • Cleft Lip and Cleft Palate
    • Pediatric Head and Neck Tumors
    • Sinus Pain
    • Sinusitis
    • Fall Prevention
    • Head and Neck Cancer
    • Sinus Headaches
    • Thyroid Disorders and Surgery
    • TMJ
  • Cancer
    • Are We Through With Chew Yet?
    • Common Problems That Can Affect Your Voice
    • Laryngeal (Voice Box) Cancer
    • Pediatric Head and Neck Tumors
    • Pediatric Thyroid Cancer
    • Rhabdomyosarcoma
    • Head and Neck Cancer
    • Quiting Smokeless Tobacco
    • Secondhand Smoke
    • Skin Cancer
    • Smokeless Tobacco
  • Pediatric
    • Child's Hearing Loss
    • Children and Facial Paralysis
    • Facial Sports Injuries
    • Allergic Rhinitis (Hay Fever)
    • Child Screening
    • Children and Facial Trauma
    • Cochlear-Meningitis Vaccination
    • Could My Child Have Sleep Apnea?
    • Day Care and Ear, Nose, and Throat
    • How Allergies Affect your Child's Ears, Nose, and Throat
    • Laryngopharyngeal Reflux and Children
    • Noise-Induced Hearing Loss In Children
    • Pediatric Food Allergies
    • Pediatric GERD
    • Pediatric Head and Neck Tumors
    • Pediatric Obesity and Ear, Nose, and Throat Disorders
    • Pediatric Thyroid Cancer
    • When Your Child Has Tinnitus
    • Why Do Children Have Earaches?
    • Pediatric Sinusitis
    • Secondhand Smoke and Children
  • Información de Salud en Español
    • Colesteatoma
    • Diábolos Estudio acerca de causas y opciones terapéuticas
    • Doctor? ¿Por Qué a Mi Hijo Le Duele El Oído?
    • Doctor? ¿Qué Causa El Ruido En El Oído?
    • El Humo del Tabaco Ambiental y los Niños
    • La pérdida de la audición
    • Otitis Media Crónica (Infección del Oído Medio) e Hipocusia
    • Perfóracion Timpánica
    • Qué Debe Saber Acerca de la Otoesclerosis
    • Screening de Audición en Niños
    • Sirvan Las Amigdalas Y Los Adenoides?
    • Amigdalitis
    • Rinitis alérgica, sinusitis y rinosinusitis
    • Implantes cocleares
    • Problemas comunes que pueden afectar a su voz
    • ¿Tengo sinusitis?
    • Cera en los oídos
    • Reflujo Gastroesofágico (ERGE)
    • Las fracturas nasales
    • Nódulos, pólipos y quistes
    • Hemorragias nasales
    • Glosario para una buena salud del oído

Our Location

12333 NE 130th Ln
Ste 440
Kirkland, WA 98034-3039
425-899-3838

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