Symptoms of laryngeal cancer

Having a hoarse voice for more than 3 weeks is one of the most common symptoms of laryngeal cancer.

Other symptoms include:

  • pain or difficulty swallowing
  • shortness of breath or a cough that does not go away
  • a lump or swelling in the throat or neck
  • weight loss

If you have any of these symptoms, you must get them checked by your GP. But remember, they can all be caused by other conditions.

Hoarseness or a change in your voice

If you have a hoarse voice for more than 3 weeks, it could be a sign of laryngeal cancer.

This is one of the most common symptoms. But many other things can cause a hoarse voice. One common cause is laryngitis (inflammation of the larynx). This usually happens due to:

  • a cold
  • a chest infection
  • overuse of the voice, such as shouting or screaming

Smoking can also cause hoarseness because it irritates the throat lining (mucous membranes).

Other causes of hoarseness include:

  • acid reflux - when stomach acid leaks up into your food pipe (oesophagus). It can irritate the larynx

  • post nasal drip - when mucus drips from the back of your nose down into your throat. This can happen if you have a cold, an allergy or because you smoke. It makes you cough and can give you a hoarse voice

  • allergies

  • thyroid problems

  • injury

You should see your doctor if you have a hoarse voice for more than 3 weeks.

Pain or difficulty swallowing

There are many different ways this can affect you. You might get the feeling:

  • that there is something small stuck in your throat
  • you are unable to swallow food 
  • of some pain or a burning sensation when swallowing food 
  • that your food is sticking in your throat

Shortness of breath

Some people find they have a cough that doesn't go away or they find it difficult to breathe. Their breathing may become noisy (stridor).

Shortness of breath and stridor is a serious symptom that should not be ignored. You need to see your doctor urgently.

A lump in the throat or neck

You might have a feeling there’s a lump in your throat. Or you might see a lump or swelling on your neck.

Weight loss

Weight loss is a common symptom of many cancers, including advanced Open a glossary item laryngeal cancer. It is very unlikely to be the only symptom.

It may happen because you’re eating less due to pain or difficulty in swallowing.

You should see your doctor if you have lost weight in a short time and you are not dieting.

Other symptoms

Other symptoms include:

  • an ear ache that doesn’t go away

  • bad smelling breath

Seeing your doctor

Your symptoms may not be due to laryngeal cancer. But it is important that any symptoms you have are checked by a doctor, even if you are feeling well.

The earlier a cancer is picked up, the easier it is to treat it and the more likely the treatment is to be successful.

You should see your doctor if you:

  • have a hoarse voice for more than 3 weeks
  • have pain or difficulty swallowing
  • are short of breath or have a cough that doesn't go away, or your breathing becomes noisy
  • have a lump or swelling in the throat or neck
  • have lost weight in a short time and you are not dieting
  • have any other symptoms that are unusual for you or that don't go away
  • Suspected cancer: recognition and referral
    National Institute for Health and Care Excellence (NICE) guidelines, June 2015 (updated October 2023)

  • Laryngeal cancer: United Kingdom National Multidisciplinary guidelines

    T Jones and others

    The Journal of laryngology and otology, 2016. Volume,130, Issue 2), S75–S82.

  • Laryngeal cancer
    Matthew Pierce. 
    BMJ Best Practice, Updated: April 2024 (Accessed June 2024)

  • Laryngeal Cancer

    A Koroulakis and M Agarwal.

    StatPearls Publishing, Last Update: May 2024 (Accessed June 2024)

Last reviewed: 
16 Jul 2024
Next review due: 
16 Jul 2027

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