Hoarseness and a mass hard in consistency over the thyrohyoid memebrane with supraglottic tumefaction led to a tentative diagnosis of supraglottic laryngeal cancer.
Finally, the cigarette smoke has a lot of different carcinogens, including ammonia, formaldehyde, carbon monoxide, which are associated with cancers of the mouth, throat, lung, bladder, pancreas, and uterus.