Tonsil Cancer – Symptoms and Causes

Overview

Tonsil cancer begins in the tonsils. These are oval pads at the back of the mouth that help the immune system fight infections.

This type of cancer belongs to the group of throat cancers, specifically those affecting the oropharynx (the area behind the mouth).

Common symptoms include difficulty swallowing and the sensation of something caught in the throat. Unfortunately, tonsil cancer is often detected in later stages, after it has spread to nearby areas such as the lymph nodes in the neck.

Key Facts About Tonsil Cancer:

  • Starts in the tonsil tissue
  • Classified as an oropharyngeal cancer
  • Often diagnosed at advanced stages
  • Can spread to neck lymph nodes

Treatment Options:

  • Surgery
  • Radiation therapy
  • Chemotherapy

These treatments may be used alone or in combination depending on the stage and specific characteristics of the cancer.

Signs and Symptoms

Tonsil cancer can show itself in several ways.

People might have trouble swallowing food or liquids. Some feel like something is stuck in their throat.

The neck may become swollen and painful. Pain in the ear is also common. Some people notice their jaw becomes stiff and hard to move.

When You Should See a Healthcare Provider

If you notice any worrying symptoms, don’t wait. Make an appointment with your doctor, dentist, or another healthcare professional right away. Early detection is important for effective treatment.

Causes

Tonsil cancer starts when DNA changes occur in tonsil cells. In normal cells, DNA provides instructions for growth, multiplication, and death at specific times.

When DNA changes happen, cancer cells receive different instructions, causing them to multiply rapidly and avoid natural cell death. This abnormal growth creates an excess of cells.

These cancer cells may form tumors that invade healthy tissue. Over time, cancer cells might break away from the original tumor and spread to other body parts, a process called metastasis.

Scientists don’t fully understand all DNA changes leading to tonsil cancer. However, human papillomavirus (HPV) plays a significant role in many cases.

HPV is transmitted through sexual contact and affects many people without causing problems. In some individuals, however, the virus triggers cell changes that may eventually develop into cancer.

HPV-related tonsil cancer has some distinct characteristics:

  • Typically affects younger patients
  • Often responds better to treatment
  • Has a more favorable prognosis

Risk factors that may contribute to tonsil cancer development include:

Risk FactorConnection to Tonsil Cancer
Tobacco useStrongly linked to increased risk
Heavy alcohol consumptionAssociated with higher risk
HPV infectionMajor risk factor for many cases
Weakened immune systemMay increase susceptibility

Things That Make Tonsil Cancer More Likely

Tobacco Use

Using any kind of tobacco puts you at higher risk for tonsil cancer. This includes smoking cigarettes, cigars, or pipes. It also includes using smokeless tobacco products like chewing tobacco and snuff.

The harmful chemicals in tobacco can damage cells in your tonsils, which may lead to cancer over time.

Alcohol Consumption

Drinking alcohol often or in large amounts can increase your chance of getting tonsil cancer. When people both drink alcohol and use tobacco, their risk becomes even greater than using either substance alone.

The two substances work together to harm the tissues in your throat.

HPV Exposure

Human papillomavirus (HPV) spreads through sexual contact. Most people’s immune systems fight off HPV naturally. However, in some cases, HPV stays in the body and changes cells in ways that can lead to tonsil cancer.

HPV is linked to several types of cancer, including cancer of the tonsils.

Ways to Reduce Your Risk

Avoid Tobacco Products

Staying away from tobacco is key to lowering your tonsil cancer risk. If you don’t use tobacco products, it’s best not to start. For current tobacco users, speak with your healthcare provider about quitting methods.

Tobacco contains harmful chemicals that can damage cells in your mouth and throat.

Drink Alcohol in Moderation

If you choose to drink alcohol, do so carefully. Healthy drinking limits are generally one drink daily for women and two drinks daily for men. Excessive alcohol consumption can irritate the tissues in your throat and increase cancer risk.

Schedule Regular Checkups

Regular dental and medical exams are important preventive measures. During these visits, healthcare professionals can examine your mouth and throat for any unusual changes.

Get HPV Vaccination

The HPV vaccine helps protect against human papillomavirus infection, which is linked to tonsil cancer. This vaccination is most effective when given before exposure to the virus.

Talk with your healthcare provider to determine if the HPV vaccine is appropriate for you. The decision will be based on your age and health history.