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Tonsil Cancer: Causes, Symptoms, and Risk Factors

Learn about tonsil cancer, its causes, symptoms, and risk factors. Discover how early detection, lifestyle changes, and treatment options can improve outcomes and support recovery.

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Written by Dr. Vasanthasree Nair

Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine

Last updated on 20th Aug, 2025

Tonsil cancer is a type of head and neck cancer that develops in the tonsils, the two oval-shaped pads at the back of your throat. While it may sound alarming, early detection and treatment can significantly improve outcomes. This article will help you understand the causes, symptoms, and risk factors of tonsil cancer in simple terms, along with tips for prevention and when to seek medical help.

What Is Tonsil Cancer?

Tonsil cancer occurs when abnormal cells grow uncontrollably in the tonsils. It is a type of oropharyngeal cancer (affecting the throat area) and is often linked to certain viruses, tobacco use, or excessive alcohol consumption. The good news is that if caught early, tonsil cancer can be treated effectively.

Common Symptoms of Tonsil Cancer

Recognising the signs early can make a big difference. Some common symptoms include:

  • Persistent sore throat that doesn’t go away

  • Pain or difficulty swallowing (feeling like something is stuck in the throat)

  • Ear pain (often on one side)

  • A lump in the neck (due to swollen lymph nodes)

  • Unexplained weight loss

  • White or red patches on the tonsils

  • Bad breath that doesn’t improve with oral hygiene

  • Voice changes (hoarseness)

If you experience any of these symptoms for more than two weeks, it’s important to see a doctor.

What Causes Tonsil Cancer?

The exact cause isn’t always clear, but certain factors increase the risk:

1. Human Papillomavirus (HPV) Infection: HPV, especially HPV-16, is a leading cause of tonsil cancer. It spreads through sexual contact.

2. Tobacco Use: Smoking or chewing tobacco significantly raises the risk.

3. Heavy Alcohol Consumption: Regular heavy drinking can damage throat tissues.

4. Poor Oral Hygiene: Chronic infections or irritation may contribute.

5. Weakened Immune System: People with HIV/AIDS or those on immunosuppressive drugs are at higher risk.

Who Is at Risk?

While anyone can develop tonsil cancer, some people are more susceptible:

  • Men (more common in males than females)

  • People over 50 (though HPV-related cases are increasing in younger adults)

  • Those with a history of smoking or heavy drinking

  • Individuals with HPV infection

How Is Tonsil Cancer Diagnosed?

If your doctor suspects tonsil cancer, they may recommend:

  • Physical examination (checking the throat and neck)

  • Biopsy (taking a small tissue sample for testing)

  • Imaging tests (CT scan, MRI, or PET scan to see the extent of cancer)

  • HPV testing (to check for HPV-related cancer)

Early diagnosis improves treatment success, so don’t delay seeing a doctor if you notice symptoms.

Consult Top Specialists

Dr. Amit Choraria, Surgical Oncologist

Dr. Amit Choraria

Surgical Oncologist

18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

1000

1000

Dr. Rupam Manna, Radiation Specialist Oncologist

Dr. Rupam Manna

Radiation Specialist Oncologist

4 Years • MBBS MD(RADIO THERAPY)

Barasat

Diab-Eat-Ease, Barasat

700

Dr. V R N Vijay Kumar, Surgical Oncologist

Dr. V R N Vijay Kumar

Surgical Oncologist

9 Years • MBBS, MS (Gen. Surg.), DNB (Surg. Onco.)

Ahmedabad

Apollo Hospitals Gandhinagar, Ahmedabad

1300

1300

Dr Supratim Bhattacharyya, Surgical Oncologist

Dr Supratim Bhattacharyya

Surgical Oncologist

11 Years • MBBS,MS,Mch(Surgical Oncology),Fellowship in Minimally Invasive GI Surgical Oncology and Robotic Surgery

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

recommendation

88%

(25+ Patients)

1000

1000

Treatment Options

Treatment depends on the cancer stage and overall health. Common approaches include:

  • Surgery: Removing the tumour and possibly affected lymph nodes.

  • Radiation therapy: Using high-energy beams to kill cancer cells.

  • Chemotherapy: Drugs to destroy cancer cells, often combined with radiation.

  • Immunotherapy: Boosting the immune system to fight cancer (for advanced cases).

Your doctor will tailor the treatment plan based on your condition.

Lifestyle Changes to Reduce Risk

While not all cases are preventable, you can lower your risk by:

  • Quitting smoking and avoiding tobacco

  • Limiting alcohol intake

  • Practising safe sex to reduce HPV exposure

  • Maintaining good oral hygiene (regular brushing, flossing, and dental check-ups)

  • Eating a healthy diet (rich in fruits and vegetables)

  • Getting the HPV vaccine (recommended for adolescents and young adults)

When to See a Doctor?

If you have persistent throat pain, difficulty swallowing, or unexplained lumps in your neck, don’t ignore them. Early medical advice can make a big difference.

Need Help? Book a Consultation Today!

If you or a loved one is experiencing symptoms or has concerns about tonsil cancer, Apollo 24|7 offers expert consultations and diagnostic tests. Early detection saves lives; schedule an appointment today for peace of mind.

Conclusion 

Tonsil cancer is serious but treatable, especially when caught early. Knowing the symptoms, risk factors, and prevention strategies can help you stay proactive about your health. If something feels off, trust your instincts and seek medical advice. Your well-being matters!

Consult Top Specialists

Dr. Amit Choraria, Surgical Oncologist

Dr. Amit Choraria

Surgical Oncologist

18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

1000

1000

Dr. Rupam Manna, Radiation Specialist Oncologist

Dr. Rupam Manna

Radiation Specialist Oncologist

4 Years • MBBS MD(RADIO THERAPY)

Barasat

Diab-Eat-Ease, Barasat

700

Dr. V R N Vijay Kumar, Surgical Oncologist

Dr. V R N Vijay Kumar

Surgical Oncologist

9 Years • MBBS, MS (Gen. Surg.), DNB (Surg. Onco.)

Ahmedabad

Apollo Hospitals Gandhinagar, Ahmedabad

1300

1300

Dr Supratim Bhattacharyya, Surgical Oncologist

Dr Supratim Bhattacharyya

Surgical Oncologist

11 Years • MBBS,MS,Mch(Surgical Oncology),Fellowship in Minimally Invasive GI Surgical Oncology and Robotic Surgery

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

recommendation

88%

(25+ Patients)

1000

1000

Consult Top Specialists

Dr. Amit Choraria, Surgical Oncologist

Dr. Amit Choraria

Surgical Oncologist

18 Years • MBBS, MS (Surgery) Fellow, Surgical Oncology, Tata Medical Center (FSO) Fellow, European Board of Surgery (Surgical Oncology) (FEBS) Fellow, Minimal Access Surgery (FMAS) Fellow, Indian Association of Gastrointestinal Endosurgeons (FIAGES) UICC Fellow, Royal Marsden NHS, London, UK Visiting Scholar, Plastic Reconstructive Surgery, CGMH, Taiwan Fellow, Robotic Surgical Oncology, Vattikuti Foundation, USA

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

1000

1000

Dr. Rupam Manna, Radiation Specialist Oncologist

Dr. Rupam Manna

Radiation Specialist Oncologist

4 Years • MBBS MD(RADIO THERAPY)

Barasat

Diab-Eat-Ease, Barasat

700

Dr. V R N Vijay Kumar, Surgical Oncologist

Dr. V R N Vijay Kumar

Surgical Oncologist

9 Years • MBBS, MS (Gen. Surg.), DNB (Surg. Onco.)

Ahmedabad

Apollo Hospitals Gandhinagar, Ahmedabad

1300

1300

Dr Prasanna Rammohan, Oncologist

Dr Prasanna Rammohan

Oncologist

18 Years • MBBS,MD,DM(Oncology),ECMO,FCPM

Tiruchirappalli

Apollo Speciality Hospitals Old Palpannai, Tiruchirappalli

600

Dr Supratim Bhattacharyya, Surgical Oncologist

Dr Supratim Bhattacharyya

Surgical Oncologist

11 Years • MBBS,MS,Mch(Surgical Oncology),Fellowship in Minimally Invasive GI Surgical Oncology and Robotic Surgery

Kolkata

Apollo Multispeciality Hospitals , Kolkata, Kolkata

recommendation

88%

(25+ Patients)

1000

1000

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