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头颈癌的急诊表现:现代视角

Emergency presentations of head and neck cancer: a modern perspective.

作者信息

Bannister M, Vallamkondu V, Ah-See K W

机构信息

Department of Otolaryngology - Head and Neck Surgery,Aberdeen Royal Infirmary,Scotland,UK.

出版信息

J Laryngol Otol. 2016 Jun;130(6):571-4. doi: 10.1017/S0022215116001043. Epub 2016 Apr 26.

DOI:10.1017/S0022215116001043
PMID:27112730
Abstract

BACKGROUND

Head and neck cancer emergency presentations are uncommon but persistent. However, there is little published literature on this aspect of cancer and patient demographics. This study aimed to assess the incidence, patient profile, tumour site and stage of emergency cancer presentations in our region.

METHOD

Retrospective review of regional cancer database over a five-year period.

RESULTS

Emergency presentations accounted for 7 per cent of all cases. There was no difference in patient age and risk factors between the emergency and non-emergency presentations. The emergency presentation group showed a greater proportion of female patients compared to the non-emergency presentation group (30 vs 15 per cent). In all emergency presentations, the cancer was at advanced stages. Oropharyngeal cancer was the commonest emergency presentation of cancer, but the third commonest in the non-emergency group.

CONCLUSION

Emergency presentations are increasing annually. Female patients and oropharyngeal cancer showed greater representation compared to male patients and laryngeal cancer.

摘要

背景

头颈癌急诊情况并不常见,但较为持久。然而,关于癌症这一方面以及患者人口统计学特征的已发表文献很少。本研究旨在评估我们地区急诊癌症情况的发病率、患者概况、肿瘤部位和分期。

方法

对地区癌症数据库进行为期五年的回顾性研究。

结果

急诊情况占所有病例的7%。急诊和非急诊病例的患者年龄和风险因素没有差异。与非急诊病例组相比,急诊病例组女性患者比例更高(30%对15%)。在所有急诊病例中,癌症均处于晚期。口咽癌是最常见的急诊癌症表现,但在非急诊病例组中是第三常见的。

结论

急诊情况每年都在增加。与男性患者和喉癌相比,女性患者和口咽癌的表现更为突出。

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