What is the probability of vocal cord leukoplakia turning into cancer without surgery?

Patient's question:

All symptoms; found white spots under laryngoscopy, smoking, cold, cough, recurring and not healing.

Doctor's answer:

Laryngeal leukoplakia is relatively common. Although laryngeal leukoplakia is a precancerous lesion, it is neither advisable to take it lightly nor to panic after its discovery. This is because the cancer transformation rate of laryngeal leukoplakia is not high, and the condition progresses slowly, with the possibility of cancer transformation occurring only after several years or even a decade.
Recommendations:
First, quit smoking and drinking, and maintain a regular lifestyle. Avoid consuming irritating foods. Exercise regularly to strengthen your body.
For inflammatory leukoplakia (leukoplakia accompanied by laryngitis), after quitting smoking and taking traditional Chinese medicine, the laryngitis will significantly subside, and the leukoplakia may reduce or completely disappear as the inflammation decreases. Follow-up every month. After the leukoplakia disappears, follow-up every 3-4 months.
For hyperplastic leukoplakia, the vocal cord surface shows grayish-white keratinized hyperplasia, thickening, and elevation. Leukoplakia generally cannot be completely resolved with medication and is best treated with laser excision. If severe inflammation is present, oral traditional Chinese medicine may be used to localize and reduce the leukoplakia before surgical excision.
After leukoplakia surgery, recurrence is common. If the leukoplakia transforms into cancer, laser excision of one vocal cord or partial laryngectomy may be necessary.
Lifestyle care: Even after surgery, recurrence may still occur. If the leukoplakia is not hyperplastic, it is generally recommended to remove it. I hope my answer helps you. Wishing you health, happiness, and joy.

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