### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have some darkened tissue around the left side of the tubercle of the epiglottis, accompanied by ear pain and recently otitis media, which was treated by oral administration of doxycycline. I ve also had increased appetite recently and weight gain. I know that the epiglottis is located by the thyroid gland and this might explain the appetite change and weight gain. Is it possible this may be epiglottal cancer and if so, what is the general stage of progression of the cancer before it is caught. Also, what it the common treatment and five year survival and complete remission rate? Note that I am a smoker and a moderate drinker. Please give your feedback. I am a Nurse Practitioner and familiar with medical terminology.

### output:

Hi, how did you see your epiglottis?endoscopy pictures?symptoms for ca. epiglottis are voice change(most common)pain in throathemoptysisdysphagia and loss of weight(not weight gain)increased appetite and weight gain can be due to steroid use(if you have used any)confirmatory investigation for ca. epiglottis is laryngoscopy and biopsy.treatment for early cancer can be -radiation(80%cure rate) but associated with morbidity-partial laminectomy neck dissection (80-90% 5 yr survival)treatment for advanced cancer is multimodal.total laminectomy followed by chemo radiation. Overall cure rates and patient satisfaction is excellentWITH THE SYMPTOMS YOU SAID I DON'T THINK YOU HAVE A CANCER.GET EVALUATED BY ENT/HEAD AND NECK ONCE AND CLEAR YOUR DOUBT.hope my answer helped you if you have any more queries I would be happy to help you.