Outcomes for patients referred to a head and neck cancer center

Authors

  • Sonia Lopes Centro Hospitalar de Lisboa Central – Hospital de São José, E.P.E
  • Filipa Oliveira Centro Hospitalar de Lisboa Ocidental – Hospital Egas Moniz
  • Eurico Costa Hospital Fernando da Fonseca
  • Ana Hebe Instituto Português de Oncologia de Lisboa, Francisco Gentil, E.P.E.
  • Pedro Montalvão Instituto Português de Oncologia de Lisboa, Francisco Gentil, E.P.E.
  • Miguel Magalhães Instituto Português de Oncologia de Lisboa, Francisco Gentil, E.P.E.

DOI:

https://doi.org/10.34631/sporl.439

Keywords:

head and neck tumors, referral, advanced tumors, treatment, clinical outcomes

Abstract

Head and neck cancer is related to high morbidity and mortality. Early referral is particularly important.

We performed a retrospective study concerning all patients referred to the head and neck consultation of Lisbon’s Instituto Português Oncologia over the year of 2008.

Most of the 454 patients observed were male (86%), with a mean age of 60 years. The most common cancer was laryngeal (36%), and most of the tumors (69%) were advanced. Surgery and adjuvant radiotherapy were used in 60% of patients. The average time elapsed between first appointment and treatment was 75 days. The overall 2-year survival rate was 66%.

Most of our patients had advanced tumors at the time of referral. Despite the early beginning of treatment at our center, survival, loco-regional control and treatment options are compromised. Public health policies should be developed to improve public health education regarding head and neck cancer prevention and early referral.

References

American Cancer Society. Cancer Facts and Figures 2012. http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-031941.pdf. Acedido em Fevereiro 10, 2012

Johnson JT. Malignant tumors of the larynx. http://emedicine. medscape.com/article/ Acedido em Fevereiro 10, 2012

Lydiatt WM, Lydiatt DD, Snyder MC. Glottic cancer. http://emedicine. medscape.com/article// Acedido em Fevereiro 10, 2012

Langerman A, Blair EA, Cohen E, Dagogo-Jack I. Head and Neck Carcinoma in the Young Patient. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Stephen JK, Chen KM, Shah V, Harvard S et al. Human Papillomavirus Outcomes in an Access-to-Care Laryngeal Cancer Cohort. Otolaryngol Head Neck Surg 2012

Torrente MC, Rodrigo JP, Haigentz MJ, Dikkers FG et al. Human papillomavirus infections in laryngeal cancer. Head Neck 2011; 33(4):581-6.

Hobson JC, Malla JV, Sinha J, Kay NJ et al. Outcomes for patients referred urgently with suspected head and neck cancer. J Laryngol Otol 2008; 122(11):1241-4.

Thorne K, Hutchings HA, Elwyn G. The effects of the Two-Week Rule on NHS colorectal cancer diagnostic services: A systematic literature review. BMC Health Services Research 2006; 6:43

Pacifico MD, Pearl RA, Grover R. The UK Government Two-Week Rule and its Impact on Melanoma Prognosis: An Evidence-Based Study. Ann R Coll Surg Engl 2007; 89(6): 609–615.

Hornig J. Supraglottic Cancer. http://emedicine.medscape.com/article/ Acedido em Fevereiro 10, 2012

Quon H. Hypopharyngeal Cancer. http://emedicine.medscape.com/article/ Acedido em Fevereiro 10, 2012

Gosselin BJ. Malignant Tumors of the Mobile Tongue. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Kokot N. Malignant Tonsil Tumor Surgery. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Guneren E, Campana J. Malignant Tumors of the Floor of the Mouth. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Paulino AC, Louis CU. Nasopharyngeal Cancer. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Carrau RL, Ong YK, Solares CA. Malignant Tumors of the Nasal Cavity. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Klem C, Theler JM. Malignant Tumors of the Sinuses. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Amirlak B, Chim HWM, Chen EH, Stepnick DW. Malignant Parotid Tumors. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Sharma PK, Johns MM. Thyroid Cancer. http://emedicine.medscape.com/article/ Acedido em Março 3, 2012

Tamura Y, Tanaka S, Asato R, Hrano S et al. Therapeutic outcomes of laryngeal cancer at Kyoto University Hospital for 10 years. Acta Otolaryngol Suppl 2007; (557):62-5.

How to Cite

Lopes, S., Oliveira, F., Costa, E., Hebe, A., Montalvão, P., & Magalhães, M. (2014). Outcomes for patients referred to a head and neck cancer center. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 52(4), 227–233. https://doi.org/10.34631/sporl.439