Laryngeal Cancer: Medical History

Medical history (history of illness) is an important component in the diagnosis of laryngeal carcinoma (cancer of the larynx).

Family history

  • Are there any tumor cases in your family that are common?

Social history

  • What is your profession?
  • Are you exposed to harmful working substances in your profession?
  • Is there smoking in your environment, i.e. you are a passive smoker?

Current medical history/systemic history (somatic and psychological complaints).

  • What symptoms have you noticed?
  • Is there hoarseness? Shortness of breath or a feeling of pressure in the throat?
  • Do you have a rough voice?
  • Do you suffer from dysphagia
  • Have you noticed any swelling of the lymph nodes?
  • How long have the symptoms persisted?

Vegetative anamnesis including nutritional anamnesis.

  • Have you unintentionally lost body weight?
  • Do you smoke? If so, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
  • Do you use drugs? If yes, what drugs and how often per day or per week?

Self history incl. medication history.

  • Previous diseases (tumor diseases)
  • Operations
  • Allergies

Environmental history

  • Occupational exposure to asbestos* or tar/bitumen.
  • Ionizing radiation (e.g. uranium* ).
  • Polycyclic aromatic hydrocarbons (PAHs), e.g. benzo(a)pyrene.
  • Sulfur-containing aerosols, intensive and multi-year exposure (occupational disease list; BK list).
  • Dusts – cement dust, wood dust.

* Recognized as an occupational disease