Reasons for delayed presentation in oral and oropharyngeal cancer: the patients perspective

Rogers, Simon N.; Vedpathak, Shreya V.; Lowe, Derek

doi:10.1016/j.bjoms.2010.06.018

Cited by 88 publications

(96 citation statements)

References 10 publications

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“…Furthermore, it has been observed that the majority of certain populations studied failed to recognize the early signs and symptoms of oral cancer such as white or red patches and persistent ulcers (West et al, 2006;Amarasinghe et al, 2010;Devadiga and Prasad 2010). A recent study on delayed presentation of oral cancers found that the patients thought their symptoms were trivial and would resolve on its own (Rogers et al, 2011b). They were also of the opinion that the best way to ensure early presentation was through improved awareness of the disease as it is currently grossly lacking.…”

Section: Introductionmentioning

confidence: 99%

Oral Cancer Awareness and its Determinants among a Selected Malaysian Population

Ghani¹,

Doss²,

Marhazlinda³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Objective: To assess oral cancer awareness, its associated factors and related sources of information among a selected group of Malaysians. Methods: A cross-sectional survey was conducted on all Malaysian ethnic groups aged ≥15 years old at eight strategically chosen shopping malls within a two week time period. Data were analysed using chi-square tests and multiple logistic regression. Significance level was set at α <0.05. Results: Most (84.2%) respondents had heard of oral cancer. Smoking was the most (92.4%) recognized high risk habit. Similar levels of awareness were seen for unhealed ulcers (57.3%) and red/white patches (58.0%) as signs of oral cancer. Age, gender, ethnicity, marital status, education, occupation and income were significantly associated with oral cancer awareness (p<0.05). Conclusions: There was a general lack of awareness regarding the risk habits, early signs and symptoms, and the benefits of detecting this disease at an early stage. Mass media and health campaigns were the main sources of information about oral cancer. In our Malaysian population, gender and age were significantly associated with the awareness of early signs and symptoms and prevention of oral cancer, respectively.

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Section: Introductionmentioning

confidence: 99%

Oral Cancer Awareness and its Determinants among a Selected Malaysian Population

Ghani¹,

Doss²,

Marhazlinda³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…[2] As the symptoms of oropharyngeal cancer are largely non-specific, many patients present with advanced disease that is associated with a poorer prognosis. [3] In a large study of tonsillar cancer, 65% of patients presented with Stage IV disease. [4] It has been shown that NASCAR attendees, a population with higher than average smoking rates and concerning findings on head and neck cancer screening exams, have low levels of knowledge and worry about HNCA [5].…”

Section: Introductionmentioning

confidence: 99%

Association between HPV and Head and Neck Cancer: Differences in Understanding among Three Distinct Populations

White¹,

Creighton²,

Wise³

et al. 2014

AJCP

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The aim of this study is to compare the knowledge of the relationship between HPV and head and neck cancer (HNCA) in three unique populations: general public at a sporting event, undergraduates, and medical students, and to compare the frequency that a healthcare provider has discussed the topics of cervical cancer and HNCA amongst these populations. A one-way between subjects design was used to evaluate participants at a community based head and neck cancer screening, and students in individual classrooms. A28-item questionnaire was administered to 491 NASCAR race attendees, 186 undergraduate students, and 158 medical students. The survey assessed their knowledge of the relationship between HPV and HNCA using a Likert scale. The survey also assessed the level of information disseminated by healthcare providers regarding HPV and HNCA. NASCAR attendees evidenced significantly (p < .001, η 2 = .10) lower levels of knowledge of the relationship between HPV and cervical cancer than college or medical students. NASCAR attendees evidenced significantly (p < .001, η 2 = .02) lower levels of knowledge of the relationship between HPV and HNCA. NASCAR attendees reported significantly (p < .001, η 2 = .10) more frequent discussions with health care providers regarding HNCA compared to college or medical students. Undergraduates and medical students reported significantly (p < .001, η 2 = .02) more frequent discussions with health care providers regarding HPV than NASCAR attendees. Results demonstrated group differences in knowledge between the relationship of HPV and cervical cancer and HPV and HNCA. All groups were more aware of HPV's association with cervical cancer than with HNCA.

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“…A review of symptoms at each visit ideally includes those symptoms as well, since many patients may not bring up the symptoms initially because of the belief that they are minor or will correct themselves. 13 Physical examination should include close inspection of the tonsillar complex, inspection and palpation of the base of tongue, and a careful examination for cervical lymphadenopathy. Because currently there are no standard tests to evaluate for precancerous OPSCC lesions (such as the Papanicolaou test and HPV DNA testing for cervical cancer), a detailed review of systems and physical examination remain the most important method for early detection.…”

Section: Evaluation and Diagnosismentioning

confidence: 99%

The Growing Epidemic of HPV-Positive Oropharyngeal Carcinoma: A Clinical Review for Primary Care Providers

Moore

Mehta

2015

The Journal of the American Board of Family Medicine

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While the rate of head and neck cancer has decreased in recent decades, the prevalence of oropharynx cancer has dramatically increased due to human papillomavirus (HPV)-related oropharyngeal cancer. Three of 4 newly diagnosed oropharyngeal carcinomas are HPV-positive, and by 2020 it is projected that the prevalence of this disease will overtake that of HPV-related cervical cancer. Recognized in recent years as a malignant entity distinct from HPV-negative oropharyngeal carcinoma, HPV-positive oropharyngeal cancer is associated with younger age at diagnosis, oral sexual behavior as a primary risk factor, nonspecific presentation, and improved treatment response compared with HPV-negative disease. Early recognition and referral for definitive treatment are paramount in decreasing morbidity and mortality, as well as improving the quality of life of these patients. Primary care providers are in an ideal position to improve patient outcomes through early recognition and referral, as well as coordination of comprehensive care of patients with this potentially devastating disease. Awareness of risk factors, a high index of suspicion, counseling patients and parents on the importance of vaccination against HPV, and coordinated care between primary care providers and specialists are vital to achieving improved outcomes for patients with this increasingly prevalent cancer. (J Am Board Fam Med 2015;28: 498 -503.)

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Reasons for delayed presentation in oral and oropharyngeal cancer: the patients perspective

Cited by 88 publications

References 10 publications

Oral Cancer Awareness and its Determinants among a Selected Malaysian Population

Oral Cancer Awareness and its Determinants among a Selected Malaysian Population

Association between HPV and Head and Neck Cancer: Differences in Understanding among Three Distinct Populations

The Growing Epidemic of HPV-Positive Oropharyngeal Carcinoma: A Clinical Review for Primary Care Providers

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