Pawlega J
Otolaryngol Pol. 1998;52(2):199-202.
The frequency, survival rates and risk factors for head and neck cancer were reviewed. The most common site in Poland is larynx, accounting for almost 50% of head and neck sites. The second group (each about 15%) are neoplasms of mouth and lip. The differences in 5-year survival for males and females with cancer of larynx, pharynx and mouth are not significant. Our survival rates are not significantly different from European mean. The main risk factors for head and neck cancer are smoking and alcohol drinking together with rare consumption of fruit and vegetables. Dentists are particularly responsible for early diagnosis of head and neck cancer. Chemioprevention can decrease the risk of second primary cancer and cytogenetic tests should in future decide about primary and secondary prevention.
对头颈部癌症的发病率、生存率及风险因素进行了综述。在波兰,最常见的发病部位是喉,几乎占头颈部发病部位的50%。第二大发病部位群体(各约占15%)是口腔和唇部肿瘤。喉癌、咽癌和口腔癌患者中,男性和女性的5年生存率差异不显著。我们的生存率与欧洲平均水平没有显著差异。头颈部癌症的主要风险因素是吸烟、饮酒以及很少食用水果和蔬菜。牙医在头颈部癌症的早期诊断中负有特殊责任。化学预防可降低患第二原发性癌症的风险,细胞遗传学检测未来应能决定一级和二级预防措施。