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Department of Otolaryngology

Department of Otolaryngology


Tumors of the hypopharynx are often very difficult to diagnose and may not cause problems until they are quite large and advanced.  Patients with these tumors may have pain in the throat or the ear.  The examination of these tumors will usually include a flexible endoscope in the office looking at the tumor.  If a tumor is suspected, an operation may be scheduled to evaluate the size and location of the tumor and to obtain a biopsy. 

Treatment of tumors of the hypopharynx often requires multiple kinds of therapy because they typically present as larger, more advanced tumors.  Advanced tumors are more curable with a combination of surgery, radiation therapy and often chemotherapy.  Alternative treatments including the laser, or chemotherapy and radiation therapy alone, are discussed with the patients depending on the size and location of their tumor and whether their tumor has spread.  These tumors frequently spread to the lymph nodes of the neck and may also spread to other parts of the body (lungs, liver, etc.)  If the tumor has spread to the lymph nodes, surgery to remove the affected lymph nodes may be necessary.  We work closely with our cancer colleagues in radiation and medical oncology to ensure patients get the best treatment possible.  By aggressively treating with a coordinated team, patients are given their best chance of cure.

D. Gregory Farwell, M.D., F.A.C.S

Arnaud F. Bewley, M.D.


Department of Otolaryngology - Head and Neck Surgery

Mailing address:

2521 Stockton Blvd., Suite 5200
Sacramento, CA 95817

Cleft Lip/Palate:

(916) 734-2452

Audiology & Speech Appointments:

(916) 734-5400

Facial Plastic Surgery Appointments:

(916) 734-2347

Dental Appointments:

(916) 734-5429

Reflux Clinic Appointments:

(916) 734-4076

Clinic Appointments:

(916) 734-5400