Freije J, Kumar J V
School of Public Health University at Albany, USA.
N Y State Dent J. 2001 Mar;67(3):26-30.
Cancers of the oral cavity and pharynx affect a significant number of people in New York State. The disease incidence has not changed in the past three decades. Despite dramatic improvements in surgical and reconstructive techniques in that time, the overall mortality rates for oral and pharyngeal cancer remain relatively unchanged. The overall five-year survival rate for persons with oral and pharyngeal cancer is only 52%. Although the risk factors are known and lesions in the oral cavity and pharynx are easily accessible for early detection, the lack of progress in controlling this cancer is perplexing. The lack of awareness of the disease burden and the risk factors, the tendency for occurrence in lower socioeconomic and poorly compliant populations, and the lack of a simple screening test have hindered progress.
口腔癌和咽癌影响着纽约州大量人口。在过去三十年中，该疾病的发病率并未改变。尽管在此期间手术和重建技术有了显著进步，但口腔癌和咽癌的总体死亡率仍相对未变。口腔癌和咽癌患者的总体五年生存率仅为52%。虽然已知风险因素，且口腔和咽部的病变易于早期发现，但在控制这种癌症方面缺乏进展令人困惑。对疾病负担和风险因素的认识不足、在社会经济地位较低和依从性较差人群中的发病趋势，以及缺乏简单的筛查测试，都阻碍了进展。
