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头颈部癌症的早期发现和预防。

Early detection and prevention of head and neck cancers.

机构信息

Senior Specialty Registrar in Oral and Maxillofacial Surgery, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK.

Senior Specialty Registrar in Oral and Maxillofacial Surgery, Royal United Hospital Foundation Trust, Bath, UK.

出版信息

Br Dent J. 2022 Nov;233(9):726-730. doi: 10.1038/s41415-022-5198-2. Epub 2022 Nov 11.

Abstract

Squamous cell carcinoma forms the vast majority of head and neck malignancies, with advanced disease incurring poor long-term survival. Early detection and prompt specialist referral allows the patient a greater chance of cure. Furthermore, basal cell carcinoma is the most common malignancy in humans, with the vast majority presenting in the head and neck region. Dentists have a unique opportunity to assess for cutaneous malignancies during routine visits.Cancer screening should be common practice within dental professionals. In addition to enquiring about common red flag symptoms, a comprehensive and systematic extra- and intra-oral examination should be undertaken at each new and check-up appointment. Urgent referral to an appropriate secondary care provider should be made at the earliest opportunity where concern for cancer exists.

摘要

鳞状细胞癌构成了绝大多数头颈部恶性肿瘤,晚期疾病的长期生存率较差。早期发现和及时转介专科医生可以让患者有更大的治愈机会。此外,基底细胞癌是人类最常见的恶性肿瘤,绝大多数发生在头颈部。牙医在常规就诊时有机会评估皮肤恶性肿瘤。癌症筛查应该成为牙医的常规做法。除了询问常见的红色警报症状外,在每次新的和检查预约时,都应该进行全面系统的口腔内外检查。如果存在癌症的担忧,应尽早向适当的二级保健提供者转介。

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